Healthcare Provider Details

I. General information

NPI: 1154666196
Provider Name (Legal Business Name): HBC AUDIOLOGY HEARING CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2012
Last Update Date: 01/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 ROCK CLIFF DR
MARTINSBURG WV
25401-3278
US

IV. Provider business mailing address

1316 ROCK CLIFF DR
MARTINSBURG WV
25401-3278
US

V. Phone/Fax

Practice location:
  • Phone: 304-264-8884
  • Fax:
Mailing address:
  • Phone: 304-264-8884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA-0095
License Number StateWV

VIII. Authorized Official

Name: EDWARD BRAUN
Title or Position: CFO
Credential:
Phone: 847-722-1543