Healthcare Provider Details

I. General information

NPI: 1861779738
Provider Name (Legal Business Name): GN HEARING CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2011
Last Update Date: 12/23/2020
Certification Date: 12/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8498 WINCHESTER RD STE 140
FRONT ROYAL VA
22630-6910
US

IV. Provider business mailing address

8498 WINCHESTER RD STE 140
FRONT ROYAL VA
22630-6910
US

V. Phone/Fax

Practice location:
  • Phone: 540-631-0044
  • Fax: 540-631-0051
Mailing address:
  • Phone: 540-631-0044
  • Fax: 540-631-0051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: NICOLINDA PYRTKO
Title or Position: MANAGED CARE MANAGER
Credential:
Phone: 470-591-4046