Provider Demographics
NPI:1841683372
Name:ARTISAN HEARING TECHNOLOGIES, LLC
Entity type:Organization
Organization Name:ARTISAN HEARING TECHNOLOGIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:A
Authorized Official - Last Name:YERKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-666-3748
Mailing Address - Street 1:324 W SOUTHERN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:SOUTH WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17702-7295
Mailing Address - Country:US
Mailing Address - Phone:570-666-3748
Mailing Address - Fax:570-666-3750
Practice Address - Street 1:324 W SOUTHERN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:SOUTH WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17702-7295
Practice Address - Country:US
Practice Address - Phone:570-666-3748
Practice Address - Fax:570-666-3750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADO1187332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment