Healthcare Provider Details

I. General information

NPI: 1033301668
Provider Name (Legal Business Name): RABIN AUDIOLOGICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2007
Last Update Date: 08/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 BROOKRIDGE CT
HARRISBURG PA
17112-9335
US

IV. Provider business mailing address

210 BROOKRIDGE CT
HARRISBURG PA
17112-9335
US

V. Phone/Fax

Practice location:
  • Phone: 717-695-3755
  • Fax:
Mailing address:
  • Phone: 717-695-3755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberD00535
License Number StatePA

VIII. Authorized Official

Name: DR. SANDRA C RABIN
Title or Position: PRESIDENT
Credential: AU.D
Phone: 717-695-3755