Healthcare Provider Details

I. General information

NPI: 1831397330
Provider Name (Legal Business Name): CLEARTONE HEARING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 MESQUITE AVE SUITE 5
LAKE HAVASU CITY AZ
86403-5674
US

IV. Provider business mailing address

1930 MESQUITE AVE SUITE 5
LAKE HAVASU CITY AZ
86403-5674
US

V. Phone/Fax

Practice location:
  • Phone: 928-855-5252
  • Fax:
Mailing address:
  • Phone: 928-855-5252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: JAHAN SHIRAVAND
Title or Position: HEARING INSTRUMENT SPECIALIST
Credential:
Phone: 928-855-5252