Provider Demographics
NPI:1669807186
Name:AUDIBEL HEARING
Entity type:Organization
Organization Name:AUDIBEL HEARING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT CARE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JELLEMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-545-9069
Mailing Address - Street 1:910 OLD CAMP RD STE 180
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-5605
Mailing Address - Country:US
Mailing Address - Phone:352-259-5234
Mailing Address - Fax:
Practice Address - Street 1:910 OLD CAMP RD STE 180
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-5605
Practice Address - Country:US
Practice Address - Phone:352-259-5234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment