Provider Demographics
NPI:1932221207
Name:UNIONTOWN HEARING AID CENTER
Entity type:Organization
Organization Name:UNIONTOWN HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAZANIEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-438-3001
Mailing Address - Street 1:34 W SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-3424
Mailing Address - Country:US
Mailing Address - Phone:724-438-3001
Mailing Address - Fax:724-438-4941
Practice Address - Street 1:34 W SOUTH ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-3424
Practice Address - Country:US
Practice Address - Phone:724-438-3001
Practice Address - Fax:724-438-4941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-05
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF02497332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment