NPI Code Detail JSON Logo

1639438708 NPI number — HANOVER AUDIOLOGY PLLC

NPI Number: 1639438708
Health Care Provider/Practitioner: HANOVER AUDIOLOGY PLLC

Information about “1639438708” NPI (HANOVER AUDIOLOGY PLLC) exists in 1639438708 in HTML format HTML  |  1639438708 in plain Text format TXT  |  1639438708 in PDF (Portable Document Format) PDF  |  1639438708 in an XML format XML  formats.

NPI Number : 1639438708 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639438708",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HANOVER AUDIOLOGY PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7484 LEE DAVIS RD",
    "SecondLineMailingAddress": "SUITE 10",
    "MailingAddressCityName": "MECHANICSVILLE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23111-3678",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "804-789-1764",
    "MailingAddressFaxNumber": "804-789-1762",
    "FirstLinePracticeLocationAddress": "7484 LEE DAVIS RD",
    "SecondLinePracticeLocationAddress": "SUITE 10",
    "PracticeLocationAddressCityName": "MECHANICSVILLE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23111-3678",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-789-1764",
    "PracticeLocationAddressFaxNumber": "804-789-1762",
    "EnumerationDate": "05/10/2012",
    "LastUpdateDate": "05/10/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HILES BRETT",
    "AuthorizedOfficialFirstName": "JANET",
    "AuthorizedOfficialMiddleName": "TINSLEY",
    "AuthorizedOfficialTitle": "DOCTOR OF AUDIOLOGY/OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "AUD",
    "AuthorizedOfficialTelephoneNumber": "804-789-1754",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "237700000X",
          "TaxonomyName": "Hearing Instrument Specialist",
          "LicenseNumber": "2101001224",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "2201222629",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.