Healthcare Provider Details

I. General information

NPI: 1770492464
Provider Name (Legal Business Name): VIRGINIA MOBILE HEARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 AUTUMN RIDGE DR
KESWICK VA
22947-3234
US

IV. Provider business mailing address

19 AUTUMN RIDGE DR
KESWICK VA
22947-3234
US

V. Phone/Fax

Practice location:
  • Phone: 434-531-0885
  • Fax:
Mailing address:
  • Phone: 434-531-0885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: RUTH L STEWART
Title or Position: VICE PRESIDENT
Credential:
Phone: 434-531-0885