Healthcare Provider Details

I. General information

NPI: 1609383678
Provider Name (Legal Business Name): SAMUEL ALEXANDER BRAND DBA ACCUTONE HEARING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2017
Last Update Date: 01/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 BENNETT ST
LUZERNE PA
18709-1500
US

IV. Provider business mailing address

365 BENNETT ST
LUZERNE PA
18709-1500
US

V. Phone/Fax

Practice location:
  • Phone: 570-287-6609
  • Fax:
Mailing address:
  • Phone: 570-287-6609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberF07304
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL BRAND
Title or Position: HEARING AID FITTER
Credential:
Phone: 570-287-6609