Healthcare Provider Details

I. General information

NPI: 1265699409
Provider Name (Legal Business Name): AMPLIFIED HEARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 05/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 W END RD
HANOVER TWP PA
18706-5424
US

IV. Provider business mailing address

54 W END RD
HANOVER TWP PA
18706-5424
US

V. Phone/Fax

Practice location:
  • Phone: 570-270-3477
  • Fax: 570-270-0794
Mailing address:
  • Phone: 570-270-3477
  • Fax: 570-270-0794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT006066
License Number StatePA

VIII. Authorized Official

Name: FRANCIS X. BAUR
Title or Position: OWNER/AUDIOLOGIST
Credential: AU.D.
Phone: 570-270-3477