Healthcare Provider Details

I. General information

NPI: 1700101680
Provider Name (Legal Business Name): TOBIN HEARING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2010
Last Update Date: 06/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4815 W RUSSELL RD SUITE 6F
LAS VEGAS NV
89118-6241
US

IV. Provider business mailing address

4815 W RUSSELL RD SUITE 6F
LAS VEGAS NV
89118-6241
US

V. Phone/Fax

Practice location:
  • Phone: 702-608-4327
  • Fax: 702-222-0705
Mailing address:
  • Phone: 702-608-4327
  • Fax: 702-222-0705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES TOBIN
Title or Position: OWNER
Credential: H.I.S.
Phone: 702-608-4327