Provider Demographics
NPI:1366610909
Name:CASTLE HEARING CENTER, INC
Entity type:Organization
Organization Name:CASTLE HEARING CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:BARNES
Authorized Official - Last Name:CASTLE
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:301-846-0222
Mailing Address - Street 1:801 TOLL HOUSE AVE
Mailing Address - Street 2:D 3
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4564
Mailing Address - Country:US
Mailing Address - Phone:301-846-0222
Mailing Address - Fax:301-846-7707
Practice Address - Street 1:801 TOLL HOUSE AVE
Practice Address - Street 2:D 3
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4564
Practice Address - Country:US
Practice Address - Phone:301-846-0222
Practice Address - Fax:301-846-7707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-18
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD123231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD022NOtherMEDICARE
MD4264065OtherCIGNA
MDJ981OtherCAREFIRST
MD3654700OtherAETNA