Provider Demographics
NPI:1841010576
Name:TRUFIDELITY HEARING LLC
Entity type:Organization
Organization Name:TRUFIDELITY HEARING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:HARADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-630-5033
Mailing Address - Street 1:1368 E PLATTEVILLE BLVD
Mailing Address - Street 2:
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-1027
Mailing Address - Country:US
Mailing Address - Phone:918-630-5033
Mailing Address - Fax:
Practice Address - Street 1:1368 E PLATTEVILLE BLVD
Practice Address - Street 2:
Practice Address - City:PUEBLO WEST
Practice Address - State:CO
Practice Address - Zip Code:81007-1027
Practice Address - Country:US
Practice Address - Phone:918-630-5033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty