Provider Demographics
NPI:1942673710
Name:AFFORDABLE HEARING CENTER, LLC
Entity type:Organization
Organization Name:AFFORDABLE HEARING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ATHERTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-622-2773
Mailing Address - Street 1:12345 S MEMORIAL DR
Mailing Address - Street 2:STE 111
Mailing Address - City:BIXBY
Mailing Address - State:OK
Mailing Address - Zip Code:74008-2569
Mailing Address - Country:US
Mailing Address - Phone:918-622-2773
Mailing Address - Fax:918-622-2773
Practice Address - Street 1:12345 S MEMORIAL DR
Practice Address - Street 2:STE 111
Practice Address - City:BIXBY
Practice Address - State:OK
Practice Address - Zip Code:74008-2569
Practice Address - Country:US
Practice Address - Phone:918-622-2773
Practice Address - Fax:918-622-2773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment