Provider Demographics
NPI:1124568159
Name:HEARING SOLUTIONS, LLC
Entity type:Organization
Organization Name:HEARING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GERHARDT-JEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MACCC-A
Authorized Official - Phone:303-666-8149
Mailing Address - Street 1:722 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-1805
Mailing Address - Country:US
Mailing Address - Phone:303-666-8149
Mailing Address - Fax:303-666-9149
Practice Address - Street 1:722 FRONT ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1805
Practice Address - Country:US
Practice Address - Phone:303-666-8149
Practice Address - Fax:303-666-9149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-23
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COHAD.0000178237700000X
COAUD.0000111231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07106164Medicaid
CO1801063953OtherNPI HEARING INSTRUMENT SPECIALIST MALCOLM E. JEWELL JR.
CO1225257793OtherNPI PROVIDER CHRISTINE M. GERHARDT-JEWELL