Provider Demographics
NPI:1306988829
Name:FAMILY HEARING CENTER ZEIGLER AUDIOLOGY LLC
Entity type:Organization
Organization Name:FAMILY HEARING CENTER ZEIGLER AUDIOLOGY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEIGLER
Authorized Official - Suffix:JR
Authorized Official - Credentials:AUD
Authorized Official - Phone:570-714-2656
Mailing Address - Street 1:400 3RD AVE
Mailing Address - Street 2:SUITE 109 PARK OFFICE BUILDING
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-5816
Mailing Address - Country:US
Mailing Address - Phone:570-714-2656
Mailing Address - Fax:570-714-2799
Practice Address - Street 1:400 3RD AVE
Practice Address - Street 2:SUITE 109 PARK OFFICE BUILDING
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-5816
Practice Address - Country:US
Practice Address - Phone:570-714-2656
Practice Address - Fax:570-714-2799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA089099OtherBC-BS FREEDOM BLUE PPO
PA1011494070001Medicaid
PAAS1702377OtherBC-BS PPO
PA1011494070002Medicaid
PA171319OtherUNISON
PAAS1702377OtherBLUE SHIELD
PAAS1702377OtherPEBTF-BS
PA1011494070002Medicaid
PAAS089099Medicare ID - Type UnspecifiedAZ-MEDICARE