Provider Demographics
NPI:1902453095
Name:HEAR IN THE BURG LLC
Entity Type:Organization
Organization Name:HEAR IN THE BURG LLC
Other - Org Name:HEAR IN THE BURG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:540-642-9258
Mailing Address - Street 1:1238 EMANCIPATION HWY
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4400
Mailing Address - Country:US
Mailing Address - Phone:540-642-9258
Mailing Address - Fax:888-798-6915
Practice Address - Street 1:1238 EMANCIPATION HWY
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4400
Practice Address - Country:US
Practice Address - Phone:540-642-9258
Practice Address - Fax:888-798-6915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-22
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty