Healthcare Provider Details

I. General information

NPI: 1639567571
Provider Name (Legal Business Name): AUDIBEL OF NEPA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2014
Last Update Date: 12/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

553 MAIN ST
HONESDALE PA
18431-1840
US

IV. Provider business mailing address

26222 RR 12
DRIPPING SPRINGS TX
78620-4903
US

V. Phone/Fax

Practice location:
  • Phone: 570-253-8906
  • Fax: 570-253-8981
Mailing address:
  • Phone: 512-858-0300
  • Fax: 512-858-2714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. RANDY SCHOEBORN
Title or Position: MANAGEMENT PARTNER
Credential:
Phone: 512-858-0300