Provider Demographics
NPI:1174761555
Name:PHILADELPHIA HEARING COMPANY
Entity type:Organization
Organization Name:PHILADELPHIA HEARING COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SVP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMINICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-745-9411
Mailing Address - Street 1:7300 BUSTLETON AVE
Mailing Address - Street 2:SEARS HEARING AID CENTER
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-4300
Mailing Address - Country:US
Mailing Address - Phone:215-745-9411
Mailing Address - Fax:
Practice Address - Street 1:7300 BUSTLETON AVE
Practice Address - Street 2:SEARS HEARING AID CENTER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-4300
Practice Address - Country:US
Practice Address - Phone:215-745-9411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-23
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies