Provider Demographics
NPI:1528315314
Name:HEARING RENEWED
Entity type:Organization
Organization Name:HEARING RENEWED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SETH
Authorized Official - Middle Name:W
Authorized Official - Last Name:BOOZ
Authorized Official - Suffix:
Authorized Official - Credentials:HAD
Authorized Official - Phone:717-354-0743
Mailing Address - Street 1:24 S. TOWER RD
Mailing Address - Street 2:
Mailing Address - City:NEW HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17557
Mailing Address - Country:US
Mailing Address - Phone:717-354-0743
Mailing Address - Fax:
Practice Address - Street 1:566 E MAIN ST
Practice Address - Street 2:SUITE D
Practice Address - City:NEW HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:17557-1407
Practice Address - Country:US
Practice Address - Phone:717-354-0743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-10
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAD00995332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment