Provider Demographics
NPI:1306162193
Name:AIM HEARING AND AUDIOLOGY SERVICE, PC
Entity type:Organization
Organization Name:AIM HEARING AND AUDIOLOGY SERVICE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMIL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRYMARK
Authorized Official - Suffix:
Authorized Official - Credentials:AUD CCC
Authorized Official - Phone:336-294-9617
Mailing Address - Street 1:529 COLLEGE RD STE B
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-5164
Mailing Address - Country:US
Mailing Address - Phone:336-294-9617
Mailing Address - Fax:336-294-9419
Practice Address - Street 1:529 COLLEGE RD STE B
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-5164
Practice Address - Country:US
Practice Address - Phone:336-294-9617
Practice Address - Fax:336-294-9419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231HA2400X, 231HA2500X
NC1215237600000X
NC7151231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Single Specialty
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology SupplierGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty