Healthcare Provider Details

I. General information

NPI: 1801297312
Provider Name (Legal Business Name): STONE'S HEARING AID SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2014
Last Update Date: 09/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 E HIGH ST
POTTSTOWN PA
19464-5426
US

IV. Provider business mailing address

51 E HIGH ST
POTTSTOWN PA
19464-5426
US

V. Phone/Fax

Practice location:
  • Phone: 610-326-1250
  • Fax: 610-323-7812
Mailing address:
  • Phone: 610-326-1250
  • Fax: 610-323-7812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License NumberF02340
License Number StatePA

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MR. MARK ALAN SHANTA
Title or Position: OWNER
Credential: BBA, BC-HIS
Phone: 610-326-1250