Provider Demographics
NPI:1174552178
Name:DR. GARY PILLOW AUIOLOGIST & CO.
Entity type:Organization
Organization Name:DR. GARY PILLOW AUIOLOGIST & CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAUSBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-862-6688
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:
Mailing Address - City:CLIFTON FORGE
Mailing Address - State:VA
Mailing Address - Zip Code:24422-0609
Mailing Address - Country:US
Mailing Address - Phone:540-862-6688
Mailing Address - Fax:
Practice Address - Street 1:1 ARH LANE SUITE 103
Practice Address - Street 2:ALLEGHENY MEDICAL CENTER
Practice Address - City:LOW MOOR
Practice Address - State:VA
Practice Address - Zip Code:24457
Practice Address - Country:US
Practice Address - Phone:540-862-6688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201000161237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC09424Medicare PIN