Provider Demographics
NPI:1407492515
Name:AINSWORTH AUDIOLOGY & HEARING AIDS, LLC
Entity type:Organization
Organization Name:AINSWORTH AUDIOLOGY & HEARING AIDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:AINSWORTH
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MCD
Authorized Official - Phone:225-572-4999
Mailing Address - Street 1:11903 COURSEY BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-4662
Mailing Address - Country:US
Mailing Address - Phone:225-769-9530
Mailing Address - Fax:
Practice Address - Street 1:11903 COURSEY BLVD STE B
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-4662
Practice Address - Country:US
Practice Address - Phone:225-769-9530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-24
Last Update Date:2019-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech