Healthcare Provider Details

I. General information

NPI: 1821310871
Provider Name (Legal Business Name): ALPHA HEARING AID CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2010
Last Update Date: 02/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5029 PEACH ST.
ERIE PA
16509
US

IV. Provider business mailing address

5029 PEACH ST.
ERIE PA
16509
US

V. Phone/Fax

Practice location:
  • Phone: 814-868-4890
  • Fax: 814-868-4910
Mailing address:
  • Phone: 814-868-4890
  • Fax: 814-868-4910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberF03382
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT006111
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberF03382
License Number StatePA

VIII. Authorized Official

Name: MS. JOYCE B. FRIED
Title or Position: OWNER/MANAGER
Credential:
Phone: 440-946-0260