Healthcare Provider Details

I. General information

NPI: 1811935802
Provider Name (Legal Business Name): HEARING CLINICS OF VIRGINIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 06/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9220 FOREST HILL AVE SUITE A4
RICHMOND VA
23235-6800
US

IV. Provider business mailing address

PO BOX 7181
WILMINGTON DE
19803-0181
US

V. Phone/Fax

Practice location:
  • Phone: 804-272-6004
  • Fax: 804-272-6033
Mailing address:
  • Phone: 888-720-7980
  • Fax: 610-361-1122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: W JEFFREY JENNINGS
Title or Position: CFO
Credential:
Phone: 888-720-7980