MEDICARE: CARLISLE HEARING CENTER

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	174400000X	Specialist	F03115	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1841559721	OTHER	PA	CHAMBERSBURG HEARING CENTER

General Provider Information

NPI Number	:	1407201379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARLISLE HEARING CENTER

Provider Business Mailing Address
First Line	:	1530 COMMERCE AVE
Second Line	:	SUITE 2
City	:	CARLISLE
State	:	PA
Zip	:	17015-9161
Country	:	US
Telephone Number	:	717-422-5409
Fax Number	:

Provider Business Practice Location Address
First Line	:	1530 COMMERCE AVE
Second Line	:	SUITE 2
City	:	CARLISLE
State	:	PA
Zip	:	17015-9161
Country	:	US
Telephone Number	:	717-422-5409
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VICTORIA PETERS
Credential	:
Telephone Number	:	717-552-9925

Provider Enumeration Date	:	04/28/2016
Last Update Date	:	04/28/2016

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Directions to “CARLISLE HEARING CENTER ” Practice Location

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