Provider Demographics
NPI:1932221819
Name:LSG HEARING AID CENTER INC
Entity Type:Organization
Organization Name:LSG HEARING AID CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BLANKENSHIP
Authorized Official - Suffix:
Authorized Official - Credentials:LHIS
Authorized Official - Phone:740-886-1410
Mailing Address - Street 1:PO BOX 750
Mailing Address - Street 2:502 STATE STREET
Mailing Address - City:PROCTORVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45669
Mailing Address - Country:US
Mailing Address - Phone:740-886-1410
Mailing Address - Fax:740-886-7270
Practice Address - Street 1:502 STATE STREET
Practice Address - Street 2:
Practice Address - City:PROCTORVILLE
Practice Address - State:OH
Practice Address - Zip Code:45669
Practice Address - Country:US
Practice Address - Phone:740-886-1410
Practice Address - Fax:740-886-7270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2173237700000X
WV713237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty