MEDICARE: ULTIMATE HEARING SOLUTIONS III

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	237600000X	Audiologist-Hearing Aid Fitter	P00945-06	PA

General Provider Information

NPI Number	:	1740637503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ULTIMATE HEARING SOLUTIONS III

Provider Business Mailing Address
First Line	:	435 BALTIMORE PIKE
Second Line	:
City	:	SPRINGFIELD
State	:	PA
Zip	:	19064-3810
Country	:	US
Telephone Number	:	610-604-9870
Fax Number	:

Provider Business Practice Location Address
First Line	:	1521 ROCK SPRING RD STE D
Second Line	:
City	:	FOREST HILL
State	:	MD
Zip	:	21050-2854
Country	:	US
Telephone Number	:	410-420-1588
Fax Number	:	410-420-1156

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. DANIELA M LOPRESTI
Credential	:
Telephone Number	:	610-604-9870

Provider Enumeration Date	:	05/20/2016
Last Update Date	:	05/23/2016

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