Healthcare Provider Details

I. General information

NPI: 1306162193
Provider Name (Legal Business Name): AIM HEARING AND AUDIOLOGY SERVICE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2010
Last Update Date: 07/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 COLLEGE RD STE B
GREENSBORO NC
27410-5164
US

IV. Provider business mailing address

529 COLLEGE RD STE B
GREENSBORO NC
27410-5164
US

V. Phone/Fax

Practice location:
  • Phone: 336-294-9617
  • Fax: 336-294-9419
Mailing address:
  • Phone: 336-294-9617
  • Fax: 336-294-9419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number7151
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number1215
License Number StateNC

VIII. Authorized Official

Name: EMIL J FRYMARK
Title or Position: PRESIDENT
Credential: AU.D. CCC
Phone: 336-294-9617