Hearing Diagnostics Center Pc

LBN: Hearing Diagnostics Center Pc
Hearing Diagnostics Center Pc is an health care organization with primary practice located at 1206 College Ave Suite 1, Goshen IN 46526-4937. The organization recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is the primary health care specialty. Hearing Diagnostics Center Pc can be contacted via phone (574) 534-4171, or through Craig, David C via phone (574) 534-4171.

Contact Information

Primary practice address
1206 College Ave Suite 1 Goshen IN 46526-4937
Phone: (574) 534-4171
Fax: (574) 533-3466
Website:
Map and Directions
Authorized official contact:
Name: Craig, David C AU.D.
Phone: (574) 534-4171

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 58000001A Indiana
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 58000001A Indiana

Profile Details

NPI number 1083697510
LBN Legal business name Hearing Diagnostics Center Pc
DBA Doing business as
Authorized official Craig, David C AU.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2005
Last updated Nov 7th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083697510 NPPES
Indiana Other 0303310002 ADMINISTAR
Indiana Other 000000087117 ADMINISTAR
Indiana MEDICAID 100113470A ADMINISTAR
Indiana Other 000000201762 ADMINISTAR

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