Healthcare Provider Details

I. General information

NPI: 1629217203
Provider Name (Legal Business Name): AUDIOLOGICAL ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2009
Last Update Date: 02/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 S RALEIGH ST
MARTINSBURG WV
25401-2638
US

IV. Provider business mailing address

319 S RALEIGH ST
MARTINSBURG WV
25401-2638
US

V. Phone/Fax

Practice location:
  • Phone: 304-267-4181
  • Fax:
Mailing address:
  • Phone: 304-267-4181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: JOHN R MEGALE
Title or Position: PRESIDENT
Credential: MA, BC-HIS
Phone: 540-667-6222