Provider Demographics
NPI:1558253351
Name:NORTH SHORE HEARING, LLC
Entity type:Organization
Organization Name:NORTH SHORE HEARING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE CREDENTIALING DEPT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTH
Authorized Official - Suffix:
Authorized Official - Credentials:DM
Authorized Official - Phone:920-234-8542
Mailing Address - Street 1:5464 N PORT WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-4925
Mailing Address - Country:US
Mailing Address - Phone:414-906-1145
Mailing Address - Fax:
Practice Address - Street 1:5464 N PORT WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53217-4925
Practice Address - Country:US
Practice Address - Phone:414-906-1145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty