Provider Demographics
NPI:1447502612
Name:A&E AUDIOLOGY AND HEARING AID CENTER
Entity type:Organization
Organization Name:A&E AUDIOLOGY AND HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOT
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:717-627-4327
Mailing Address - Street 1:2160 NOLL DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-7603
Mailing Address - Country:US
Mailing Address - Phone:717-392-4327
Mailing Address - Fax:717-435-8299
Practice Address - Street 1:2160 NOLL DR
Practice Address - Street 2:SUITE 100
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-7603
Practice Address - Country:US
Practice Address - Phone:717-392-4327
Practice Address - Fax:717-435-8299
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A&E AUDIOLOGY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty