Healthcare Provider Details

I. General information

NPI: 1508130410
Provider Name (Legal Business Name): MOBILE HEARING CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2012
Last Update Date: 08/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6414 GRELOT RD SUITE C
MOBILE AL
36695-2634
US

IV. Provider business mailing address

6414 GRELOT RD SUITE C
MOBILE AL
36695-2634
US

V. Phone/Fax

Practice location:
  • Phone: 251-410-4327
  • Fax:
Mailing address:
  • Phone: 251-410-4327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number1091A
License Number StateAL

VIII. Authorized Official

Name: DR. ROCIO HILPERT
Title or Position: PRESIDENT
Credential: AU.D. CCC-A, F-AAA
Phone: 251-410-4327