Healthcare Provider Details
I. General information
NPI: 1306988829
Provider Name (Legal Business Name): FAMILY HEARING CENTER ZEIGLER AUDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/12/2007
Last Update Date: 05/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 3RD AVE SUITE 109 PARK OFFICE BUILDING
KINGSTON PA
18704-5816
US
IV. Provider business mailing address
400 3RD AVE SUITE 109 PARK OFFICE BUILDING
KINGSTON PA
18704-5816
US
V. Phone/Fax
- Phone: 570-714-2656
- Fax: 570-714-2799
- Phone: 570-714-2656
- Fax: 570-714-2799
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
ZEIGLER
JR.
Title or Position: AUDIOLOGIST-OWNER
Credential: AU.D.
Phone: 570-714-2656