Provider Demographics
NPI:1598763484
Name:EAST VALLEY HEARING CENTER INC
Entity type:Organization
Organization Name:EAST VALLEY HEARING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SCHARBER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:480-830-0994
Mailing Address - Street 1:6262 E BROADWAY RD
Mailing Address - Street 2:#103
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-6101
Mailing Address - Country:US
Mailing Address - Phone:480-830-0994
Mailing Address - Fax:480-981-2747
Practice Address - Street 1:6262 E BROADWAY RD
Practice Address - Street 2:#103
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-6101
Practice Address - Country:US
Practice Address - Phone:480-830-0994
Practice Address - Fax:480-981-2747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ60544Medicare ID - Type Unspecified