Healthcare Provider Details

I. General information

NPI: 1124533922
Provider Name (Legal Business Name): STEELE HEARING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2017
Last Update Date: 12/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 N MATTHEWS RD
LAKE CITY SC
29560-2309
US

IV. Provider business mailing address

111 N MATTHEWS RD
LAKE CITY SC
29560-2309
US

V. Phone/Fax

Practice location:
  • Phone: 843-253-0435
  • Fax:
Mailing address:
  • Phone: 843-253-0435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAS0587
License Number StateSC

VIII. Authorized Official

Name: MRS. APRIL STEELE
Title or Position: HEARING AID SPECIALIST
Credential: BC-HIS
Phone: 843-253-0435