Provider Demographics
NPI:1902904873
Name:ARIZONA AUDIOLOGY & HEARING ASSOCIATES INC
Entity Type:Organization
Organization Name:ARIZONA AUDIOLOGY & HEARING ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:FOWLER
Authorized Official - Last Name:HAGGERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-214-8085
Mailing Address - Street 1:13540 W CAMINO DEL SOL
Mailing Address - Street 2:#20
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-4434
Mailing Address - Country:US
Mailing Address - Phone:623-214-8085
Mailing Address - Fax:623-214-8202
Practice Address - Street 1:13540 W CAMINO DEL SOL
Practice Address - Street 2:#20
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-4434
Practice Address - Country:US
Practice Address - Phone:623-214-8085
Practice Address - Fax:623-214-8202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHAD1579237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZNGBCBMedicare ID - Type Unspecified
AZZNGBCBMedicare PIN