MEDICARE: JENNIFER BERND H.I.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	F03905	PA

General Provider Information

NPI Number	:	1003507179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER BERND H.I.S.

Provider Business Mailing Address
First Line	:	904 CROFT RD
Second Line	:
City	:	GREENSBURG
State	:	PA
Zip	:	15601-8478
Country	:	US
Telephone Number	:	724-289-3817
Fax Number	:

Provider Business Practice Location Address
First Line	:	8279 ROUTE 22 STE 11
Second Line	:
City	:	NEW ALEXANDRIA
State	:	PA
Zip	:	15670-3155
Country	:	US
Telephone Number	:	724-668-5091
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2023
Last Update Date	:	05/18/2023

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