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NPI Code Detail

MEDICARE: AC TINNITUS, HYPERACUSIS AND BALANCE CENTER INC.

MEDICARE: AC TINNITUS, HYPERACUSIS AND BALANCE CENTER INC.
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
1231H00000XAudiologistNOT APPLICABLE

General Provider Information

NPI Number : 1245288075
Entity Type Code : Organization
Provider Name (Legal Business Name) : AC TINNITUS, HYPERACUSIS AND BALANCE CENTER INC.
Provider Business Mailing Address
First Line : 1776 S QUEEN ST
Second Line :
City : YORK
State : PA
Zip : 17403-4628
Country : US
Telephone Number : 717-845-6321
Fax Number : 717-845-6320
Provider Business Practice Location Address
First Line : 1776 S QUEEN ST
Second Line :
City : YORK
State : PA
Zip : 17403-4628
Country : US
Telephone Number : 717-845-6321
Fax Number : 717-845-6320
Authorized Official
Title or Position : PRESIDENT
Name : MRS. ANN E SHAFER
Credential :
Telephone Number : 717-845-6321
Provider Enumeration Date : 05/04/2006
Last Update Date : 08/22/2020

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