MEDICARE: ZOUNDS NORTHSHORE, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332S00000X	Hearing Aid Equipment

General Provider Information

NPI Number	:	1144625013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZOUNDS NORTHSHORE, LLC.

Provider Business Mailing Address
First Line	:	2033 N HIGHWAY 190
Second Line	:	SUITE 8
City	:	COVINGTON
State	:	LA
Zip	:	70433-8985
Country	:	US
Telephone Number	:	985-302-0752
Fax Number	:	985-302-0753

Provider Business Practice Location Address
First Line	:	2033 N HIGHWAY 190
Second Line	:	SUITE 8
City	:	COVINGTON
State	:	LA
Zip	:	70433-8985
Country	:	US
Telephone Number	:	985-302-0752
Fax Number	:	985-302-0753

Authorized Official
Title or Position	:	OWNER
Name	:	DON JONES
Credential	:
Telephone Number	:	985-302-0752

Provider Enumeration Date	:	11/04/2014
Last Update Date	:	11/04/2014

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