Provider Demographics
NPI:1386086098
Name:CHESTER HEIGHTS HEARING AID CENTER, LLC
Entity type:Organization
Organization Name:CHESTER HEIGHTS HEARING AID CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:CLAFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:BS,BC/HIS
Authorized Official - Phone:484-574-8777
Mailing Address - Street 1:327 W. BALTIMORE PIKE
Mailing Address - Street 2:LOCUST HILL PROFESSIONAL CENTER , FLOOR # 1
Mailing Address - City:CHESTER HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:19063-5625
Mailing Address - Country:US
Mailing Address - Phone:484-574-8777
Mailing Address - Fax:484-574-8828
Practice Address - Street 1:327 W. BALTIMORE PIKE
Practice Address - Street 2:LOCUST HILL PROFESSIONAL CENTER , FLOOR # 1
Practice Address - City:CHESTER HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:19063-5625
Practice Address - Country:US
Practice Address - Phone:484-574-8777
Practice Address - Fax:484-574-8828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAFO2398237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty