Provider Demographics
NPI:1881407609
Name:PROFESSIONAL HEARING CORPORATION
Entity type:Organization
Organization Name:PROFESSIONAL HEARING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BANG
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:509-924-3459
Mailing Address - Street 1:12211 E BROADWAY AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-6132
Mailing Address - Country:US
Mailing Address - Phone:509-924-3459
Mailing Address - Fax:509-924-3692
Practice Address - Street 1:12211 E BROADWAY AVE # SUIGTE4
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-6132
Practice Address - Country:US
Practice Address - Phone:509-924-3459
Practice Address - Fax:509-924-3692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty