Professional Hearing Clinic Pc

LBN: Professional Hearing Clinic Pc
Professional Hearing Clinic Pc is an health care organization with primary practice located at 106 Proctor St , Statesboro GA 30458-1351. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Professional Hearing Clinic Pc can be contacted via phone (912) 489-6422, or through Perrine, William Warren via phone (912) 489-6422.

Contact Information

Primary practice address
106 Proctor St Statesboro GA 30458-1351
Fax: (912) 489-5866
Website:
Authorized official contact:
Name: Perrine, William Warren CCC-A

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X GA003170 Georgia

Profile Details

NPI number 1316990534
LBN Legal business name Professional Hearing Clinic Pc
DBA Doing business as
Authorized official Perrine, William Warren CCC-A
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Dec 27th, 2012 - about 12 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 1316990534 NPPES
Georgia MEDICAID 000968965E

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