Healthcare Provider Details
I. General information
NPI: 1811197411
Provider Name (Legal Business Name): AAA HEARING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2007
Last Update Date: 10/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8430 W LAKE MEAD BLVD STE 137
LAS VEGAS NV
89128-7672
US
IV. Provider business mailing address
PO BOX 81
MOORPARK CA
93020-0081
US
V. Phone/Fax
- Phone: 805-552-0888
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
J.
KIELY
BALL
Title or Position: PRESIDENT
Credential:
Phone: 801-205-2581