Healthcare Provider Details

I. General information

NPI: 1720295488
Provider Name (Legal Business Name): ADOBE HEARING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2102 N COUNTRY CLUB RD STE 12
TUCSON AZ
85716-2858
US

IV. Provider business mailing address

2102 N COUNTRY CLUB RD STE 12
TUCSON AZ
85716-2858
US

V. Phone/Fax

Practice location:
  • Phone: 520-322-8211
  • Fax: 520-327-8490
Mailing address:
  • Phone: 520-322-8211
  • Fax: 520-327-8490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberHAD1695
License Number StateAZ

VIII. Authorized Official

Name: ELLEN LOU CHEEK
Title or Position: PRESIDENT
Credential: AU.D.
Phone: 520-322-8211