Healthcare Provider Details

I. General information

NPI: 1841342425
Provider Name (Legal Business Name): FAMILY HEARING CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 09/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 SOUTH CHURCH STREET SUITE E
RIPLEY WV
25271
US

IV. Provider business mailing address

PO BOX 367
RIPLEY WV
25271-0367
US

V. Phone/Fax

Practice location:
  • Phone: 304-372-1122
  • Fax:
Mailing address:
  • Phone: 304-372-1122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA-0173
License Number StateWV

VIII. Authorized Official

Name: TODD SHANNON BURDETTE
Title or Position: PRESIDENT
Credential: M.S., CCC-A
Phone: 304-372-1122