Provider Demographics
NPI:1023244795
Name:HEARMAX-AFFORDABLE HEARING AIDS, LLC
Entity type:Organization
Organization Name:HEARMAX-AFFORDABLE HEARING AIDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/DISPENSER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:DISHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:256-534-3277
Mailing Address - Street 1:2109 BOB WALLACE AVE SW STE C
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35805-4734
Mailing Address - Country:US
Mailing Address - Phone:256-534-3277
Mailing Address - Fax:256-489-5890
Practice Address - Street 1:2109 BOB WALLACE AVE SW STE C
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-4734
Practice Address - Country:US
Practice Address - Phone:256-534-3277
Practice Address - Fax:256-489-5890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4102237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty