Provider Demographics
NPI:1205165289
Name:ASTRUM HEARING INC
Entity type:Organization
Organization Name:ASTRUM HEARING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GLIGOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-675-5485
Mailing Address - Street 1:5990 GREENWOOD PLAZA BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4704
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5990 GREENWOOD PLAZA BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4704
Practice Address - Country:US
Practice Address - Phone:800-675-5485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty