Provider Demographics
NPI:1902172059
Name:HANOVER HEARING CENTER
Entity Type:Organization
Organization Name:HANOVER HEARING CENTER
Other - Org Name:CHAMBERSBURG HEARING CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS COHC
Authorized Official - Phone:717-698-1541
Mailing Address - Street 1:195 STOCK ST
Mailing Address - Street 2:SUITE 112A
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-2266
Mailing Address - Country:US
Mailing Address - Phone:717-698-1541
Mailing Address - Fax:717-698-1430
Practice Address - Street 1:195 STOCK ST
Practice Address - Street 2:SUITE 112A
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2266
Practice Address - Country:US
Practice Address - Phone:717-698-1541
Practice Address - Fax:717-698-1430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02623332BC3200X
PAF03115332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment