Healthcare Provider Details

I. General information

NPI: 1881302008
Provider Name (Legal Business Name): CAPITAL INSTITUTE OF HEARING & BALANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2022
Last Update Date: 04/18/2023
Certification Date: 04/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11886 HEALING WAY STE 530
SILVER SPRING MD
20904-7917
US

IV. Provider business mailing address

11886 HEALING WAY STE 530
SILVER SPRING MD
20904-7917
US

V. Phone/Fax

Practice location:
  • Phone: 240-670-1200
  • Fax: 240-719-0534
Mailing address:
  • Phone: 240-670-1200
  • Fax: 240-719-0534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. JACQUELYN CLARINE JACKSON LOVITT
Title or Position: CO-OWNER/AUDIOLOGIST
Credential: AU.D.
Phone: 240-670-1200