Healthcare Provider Details

I. General information

NPI: 1194390849
Provider Name (Legal Business Name): CT EARS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2021
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 N MAIN ST STE C
BRISTOL CT
06010-1902
US

IV. Provider business mailing address

440 N MAIN ST STE C
BRISTOL CT
06010-1902
US

V. Phone/Fax

Practice location:
  • Phone: 860-893-1977
  • Fax: 860-845-5330
Mailing address:
  • Phone: 860-893-1977
  • Fax: 860-845-5330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2355A2700X
TaxonomyAudiology Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: KAREN SPATAFORA
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 860-893-1977