Provider Demographics
NPI:1124405394
Name:TINNITUS TREATMENT SOLUTIONS LLC
Entity type:Organization
Organization Name:TINNITUS TREATMENT SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-918-3008
Mailing Address - Street 1:1821 S BASCOM AVE
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-2309
Mailing Address - Country:US
Mailing Address - Phone:408-918-3008
Mailing Address - Fax:877-733-2169
Practice Address - Street 1:1821 S BASCOM AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-2309
Practice Address - Country:US
Practice Address - Phone:408-918-3008
Practice Address - Fax:877-733-2169
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLIED MINDS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-04-27
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty