Provider Demographics
NPI:1992078026
Name:BLUE STONE HEARING, LLC
Entity type:Organization
Organization Name:BLUE STONE HEARING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:KELLY
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:BCHIS
Authorized Official - Phone:561-932-1200
Mailing Address - Street 1:1975 SANSBURY'S WAY
Mailing Address - Street 2:UNIT 115
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411
Mailing Address - Country:US
Mailing Address - Phone:561-932-1200
Mailing Address - Fax:561-932-1210
Practice Address - Street 1:835 JOHNS HOPKINS DRIVE
Practice Address - Street 2:SUITE D
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834
Practice Address - Country:US
Practice Address - Phone:252-353-2821
Practice Address - Fax:252-353-4496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment