Provider Demographics
NPI:1912315672
Name:ENHANCED HEARING SPECIALISTS, LLC
Entity Type:Organization
Organization Name:ENHANCED HEARING SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARYLYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:O'BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-489-9900
Mailing Address - Street 1:1330 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DICKSON CITY
Mailing Address - State:PA
Mailing Address - Zip Code:18519-1368
Mailing Address - Country:US
Mailing Address - Phone:570-489-9900
Mailing Address - Fax:
Practice Address - Street 1:1330 MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:DICKSON CITY
Practice Address - State:PA
Practice Address - Zip Code:18519-1368
Practice Address - Country:US
Practice Address - Phone:570-489-9900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-25
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000364L237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty