Provider Demographics
NPI:1548769474
Name:PROFESSIONAL HEARING CONSULTANTS LLC
Entity type:Organization
Organization Name:PROFESSIONAL HEARING CONSULTANTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:S
Authorized Official - Last Name:NASCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-895-7636
Mailing Address - Street 1:25229 S SUN LAKES BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:SUN LAKES
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-6465
Mailing Address - Country:US
Mailing Address - Phone:480-895-7636
Mailing Address - Fax:480-802-0300
Practice Address - Street 1:25229 S SUN LAKES BLVD STE 120
Practice Address - Street 2:
Practice Address - City:SUN LAKES
Practice Address - State:AZ
Practice Address - Zip Code:85248-6465
Practice Address - Country:US
Practice Address - Phone:480-895-7636
Practice Address - Fax:480-802-0300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBHAD1927237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty