Provider Demographics
NPI:1285129270
Name:HEAR BY THE ROCK LLC
Entity type:Organization
Organization Name:HEAR BY THE ROCK LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAULMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-772-3277
Mailing Address - Street 1:1052 MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:MORRO BAY
Mailing Address - State:CA
Mailing Address - Zip Code:93442-4004
Mailing Address - Country:US
Mailing Address - Phone:805-772-3277
Mailing Address - Fax:
Practice Address - Street 1:1052 MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:MORRO BAY
Practice Address - State:CA
Practice Address - Zip Code:93442-4004
Practice Address - Country:US
Practice Address - Phone:805-772-3277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-22
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty