Healthcare Provider Details
I. General information
NPI: 1932450251
Provider Name (Legal Business Name): CLEAR HEARING SOLUTIONS III, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2012
Last Update Date: 07/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3405 HILLSBOROUGH ROAD SUITE B DURHAM FESTIVAL MALL
DURHAM NC
27705
US
IV. Provider business mailing address
435 W BALTIMORE PIKE
SPRINGFIELD PA
19064
US
V. Phone/Fax
- Phone: 919-286-1601
- Fax:
- Phone: 610-604-9870
- Fax: 610-604-9867
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | P00945-06 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | 853 |
| License Number State | NC |
VIII. Authorized Official
Name: MRS.
DANIELA
MARIE
LOPRESTI
Title or Position: PRESIDENT
Credential:
Phone: 610-496-9181