Healthcare Provider Details

I. General information

NPI: 1598570301
Provider Name (Legal Business Name): INDEPENDENCE HEARING GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8218 WISCONSIN AVE STE 106
BETHESDA MD
20814-3107
US

IV. Provider business mailing address

9501 BELLHAVEN CT
FREDERICK MD
21701-5814
US

V. Phone/Fax

Practice location:
  • Phone: 301-656-1933
  • Fax:
Mailing address:
  • Phone: 240-707-2031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: DAVID ALEXANDER
Title or Position: OWNER/AUDIOLOGIST
Credential: AUD
Phone: 240-707-2031