Healthcare Provider Details

I. General information

NPI: 1285993683
Provider Name (Legal Business Name): RENEWED HEARING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2012
Last Update Date: 07/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BRIARCREST SQ
HERSHEY PA
17033-2359
US

IV. Provider business mailing address

1 BRIARCREST SQ
HERSHEY PA
17033-2359
US

V. Phone/Fax

Practice location:
  • Phone: 717-298-6170
  • Fax: 717-298-6173
Mailing address:
  • Phone: 717-298-6170
  • Fax: 717-298-6173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberF03413
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MARYANNE KNAUB
Title or Position: OWNER
Credential: H.I.S.
Phone: 717-298-6170