Healthcare Provider Details

I. General information

NPI: 1215520713
Provider Name (Legal Business Name): ALLIANCE HEARING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2021
Last Update Date: 08/19/2021
Certification Date: 08/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194 PLEASANT ST STE 1
CONCORD NH
03301-2952
US

IV. Provider business mailing address

194 PLEASANT ST STE 1
CONCORD NH
03301-2952
US

V. Phone/Fax

Practice location:
  • Phone: 603-415-3277
  • Fax: 603-415-0055
Mailing address:
  • Phone: 603-415-3277
  • Fax: 603-415-0055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DWIGHT ROMULO VALDEZ
Title or Position: AUDIOLOGIST
Credential: MA, FAAA
Phone: 604-415-3277