Healthcare Provider Details

I. General information

NPI: 1982616041
Provider Name (Legal Business Name): ZERNS HEARING AID CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 11/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3212 W CHELTENHAM AVE STE 2
PHILADELPHIA PA
19150
US

IV. Provider business mailing address

3212 W CHELTENHAM AVE STE 2
PHILADELPHIA PA
19150-1003
US

V. Phone/Fax

Practice location:
  • Phone: 610-203-6900
  • Fax: 610-203-6900
Mailing address:
  • Phone: 610-203-6900
  • Fax: 610-203-6900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberF03105
License Number StatePA

VIII. Authorized Official

Name: MR. TODD L CULBREATH
Title or Position: LICENSED HEARING SPECIALIST
Credential:
Phone: 610-203-6900