Provider Demographics
NPI:1932716073
Name:MARTHAS VINEYARD HEARING CARE
Entity Type:Organization
Organization Name:MARTHAS VINEYARD HEARING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:LOSCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:720-289-7410
Mailing Address - Street 1:PO BOX 2362
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-7362
Mailing Address - Country:US
Mailing Address - Phone:720-289-7410
Mailing Address - Fax:
Practice Address - Street 1:25 RIVER RD # A2
Practice Address - Street 2:
Practice Address - City:MARSTONS MILLS
Practice Address - State:MA
Practice Address - Zip Code:02648-1778
Practice Address - Country:US
Practice Address - Phone:720-289-7410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech