Provider Demographics
NPI:1841593456
Name:HEARING ASSOCIATES LLC
Entity type:Organization
Organization Name:HEARING ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:CHESTER
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SAXON
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:505-326-2791
Mailing Address - Street 1:4001 N BUTLER AVE
Mailing Address - Street 2:BLDG 5101
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401-2353
Mailing Address - Country:US
Mailing Address - Phone:505-326-2791
Mailing Address - Fax:505-564-2811
Practice Address - Street 1:4001 N BUTLER AVE
Practice Address - Street 2:BLDG 5101
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-2353
Practice Address - Country:US
Practice Address - Phone:505-326-2791
Practice Address - Fax:505-564-2811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHAD5825332S00000X
NM0702332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment