Provider Demographics
NPI:1306532858
Name:BLUESTONE HEARING & TINNITUS CARE LLC
Entity type:Organization
Organization Name:BLUESTONE HEARING & TINNITUS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER/AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:276-345-8816
Mailing Address - Street 1:966 W MAIN ST
Mailing Address - Street 2:BOX 11
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210
Mailing Address - Country:US
Mailing Address - Phone:276-285-2327
Mailing Address - Fax:
Practice Address - Street 1:966 W MAIN ST STE E
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-2483
Practice Address - Country:US
Practice Address - Phone:276-285-2327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty