Healthcare Provider Details

I. General information

NPI: 1700014537
Provider Name (Legal Business Name): HEARING CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2009
Last Update Date: 07/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 TOLL HOUSE AVE SUITE D-3
FREDERICK MD
21701-4564
US

IV. Provider business mailing address

801 TOLL HOUSE AVE SUITE D-3
FREDERICK MD
21701-4564
US

V. Phone/Fax

Practice location:
  • Phone: 301-846-0222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number1080
License Number StateMD

VIII. Authorized Official

Name: ROSS CUSHING
Title or Position: OWNER
Credential: AU.D.
Phone: 301-742-7779