Provider Demographics
NPI:1992141188
Name:ADVANTAGE HEARING LLC
Entity type:Organization
Organization Name:ADVANTAGE HEARING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:MICHEAL
Authorized Official - Last Name:MCCROSKEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MBA
Authorized Official - Phone:864-436-1536
Mailing Address - Street 1:1737 POWDERSVILLE RD
Mailing Address - Street 2:SUITE C-5
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29642-8057
Mailing Address - Country:US
Mailing Address - Phone:864-436-1536
Mailing Address - Fax:
Practice Address - Street 1:1737 POWDERSVILLE RD
Practice Address - Street 2:SUITE C-5
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29642-8057
Practice Address - Country:US
Practice Address - Phone:864-436-1536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC404332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment