Healthcare Provider Details

I. General information

NPI: 1811344575
Provider Name (Legal Business Name): ULTIMATE HEARING SOLUTIONS III, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2016
Last Update Date: 12/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 S. CHERRY GROVE AVE. SUITE A
ANNAPOLIS MD
21401
US

IV. Provider business mailing address

435 W. BALTIMORE PIKE
SPRINGFIELD PA
19064
US

V. Phone/Fax

Practice location:
  • Phone: 410-266-9442
  • Fax: 410-266-3630
Mailing address:
  • Phone: 610-604-9870
  • Fax: 610-604-9867

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 MARIA LOPRESTI
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 610-496-9181