Healthcare Provider Details

I. General information

NPI: 1932140746
Provider Name (Legal Business Name): LOUISVILLE HEARING AID CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1169 EASTERN PKWY SUITE G-9
LOUISVILLE KY
40217-1417
US

IV. Provider business mailing address

1169 EASTERN PKWY SUITE G-9
LOUISVILLE KY
40217-1417
US

V. Phone/Fax

Practice location:
  • Phone: 502-456-5831
  • Fax: 502-451-3170
Mailing address:
  • Phone: 502-456-5831
  • Fax: 502-451-3170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number0107
License Number StateKY

VIII. Authorized Official

Name: STEVE BARLOW
Title or Position: MANAGER
Credential:
Phone: 502-245-5101