Healthcare Provider Details
I. General information
NPI: 1851984629
Provider Name (Legal Business Name): HEAR AT YOUR SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/12/2021
Last Update Date: 07/02/2021
Certification Date: 07/02/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1036 AMBERLEY WAY STE A
RICHMOND KY
40475-8979
US
IV. Provider business mailing address
1036 AMBERLEY WAY STE A
RICHMOND KY
40475-8979
US
V. Phone/Fax
- Phone: 859-623-4458
- Fax: 859-623-4459
- Phone: 859-623-4458
- Fax: 859-623-4458
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEANNA
LYNN
FRAZIER
Title or Position: OWNER
Credential: AUD
Phone: 859-623-4458