Healthcare Provider Details

I. General information

NPI: 1790075398
Provider Name (Legal Business Name): HEAR FOR YOU HEARING & BALANCE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2011
Last Update Date: 08/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 BLACKSTONE VALLEY PL STE 307
LINCOLN RI
02865-1112
US

IV. Provider business mailing address

6 BLACKSTONE VALLEY PL STE 307
LINCOLN RI
02865-1112
US

V. Phone/Fax

Practice location:
  • Phone: 401-475-6116
  • Fax:
Mailing address:
  • Phone: 401-475-6116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number152
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number152
License Number StateRI

VIII. Authorized Official

Name: DR. RACHEL A BABOIAN
Title or Position: DOCTOR OF AUDIOLOGY/SOLE MEMBER
Credential: AU.D.
Phone: 401-475-6116