Healthcare Provider Details

I. General information

NPI: 1710697727
Provider Name (Legal Business Name): HEARING SERVICES OF CHATTANOOGA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2022
Last Update Date: 11/30/2022
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6151 SHALLOWFORD RD STE 104
CHATTANOOGA TN
37421-7803
US

IV. Provider business mailing address

6151 SHALLOWFORD RD STE 104
CHATTANOOGA TN
37421-7803
US

V. Phone/Fax

Practice location:
  • Phone: 423-894-1133
  • Fax: 423-894-0292
Mailing address:
  • Phone: 423-894-1133
  • Fax: 423-894-0292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: CHERYL WARD
Title or Position: PRACTICE OWNER/HIS
Credential: HIS
Phone: 423-894-1133