Healthcare Provider Details

I. General information

NPI: 1730536491
Provider Name (Legal Business Name): ULTIMATE HEARING SOLUTIONS IV
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2016
Last Update Date: 05/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3098 N DUPONT HWY STE A
DOVER DE
19901-8793
US

IV. Provider business mailing address

435 BALTIMORE PIKE
SPRINGFIELD PA
19064-3810
US

V. Phone/Fax

Practice location:
  • Phone: 302-678-3280
  • Fax:
Mailing address:
  • Phone: 610-604-9870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberP00945-06
License Number StatePA

VIII. Authorized Official

Name: MRS. DANIELA M LOPRESTI
Title or Position: OWNER
Credential:
Phone: 610-604-9870