Healthcare Provider Details

I. General information

NPI: 1669662185
Provider Name (Legal Business Name): LEBOWE HEARING AID CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2007
Last Update Date: 04/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N PINE ST
SPARTANBURG SC
29302
US

IV. Provider business mailing address

301 N PINE ST
SPARTANBURG SC
29302
US

V. Phone/Fax

Practice location:
  • Phone: 864-585-1812
  • Fax: 864-583-2875
Mailing address:
  • Phone: 864-585-1812
  • Fax: 864-583-2875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number421
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number9
License Number StateSC

VIII. Authorized Official

Name: DR. RICK LEBOWE
Title or Position: PRESIDENT
Credential: BC-HIS
Phone: 864-585-1812