Provider Demographics
NPI:1104795939
Name:HEAR NEW MEXICO LLC
Entity type:Organization
Organization Name:HEAR NEW MEXICO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:COLTISOR
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:505-390-6995
Mailing Address - Street 1:1209 MOUNTAIN ROAD PL NE STE N
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-7845
Mailing Address - Country:US
Mailing Address - Phone:505-390-6995
Mailing Address - Fax:
Practice Address - Street 1:1247 CENTRAL AVE RM 220
Practice Address - Street 2:
Practice Address - City:LOS ALAMOS
Practice Address - State:NM
Practice Address - Zip Code:87544-3256
Practice Address - Country:US
Practice Address - Phone:505-390-6995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty