Healthcare Provider Details

I. General information

NPI: 1508122326
Provider Name (Legal Business Name): HEARING SOLUTIONS OF CENTRAL PA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2012
Last Update Date: 08/09/2022
Certification Date: 08/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 HOUSE AVE STE 100B
CAMP HILL PA
17011-2308
US

IV. Provider business mailing address

207 HOUSE AVE STE 100B
CAMP HILL PA
17011-2308
US

V. Phone/Fax

Practice location:
  • Phone: 717-761-7593
  • Fax: 717-761-0384
Mailing address:
  • Phone: 717-761-7593
  • Fax: 717-761-0384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT005878
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberD00861-01
License Number StatePA

VIII. Authorized Official

Name: DR. JESSICA M KIEHL
Title or Position: OWNER
Credential: AUD
Phone: 717-761-7593