Provider Demographics
NPI:1609836212
Name:A & E AUDIOLOGY, INC.
Entity type:Organization
Organization Name:A & E AUDIOLOGY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMAL
Authorized Official - Middle Name:A
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 STE 100
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-7608
Mailing Address - Country:US
Mailing Address - Phone:717-392-4327
Mailing Address - Fax:717-435-8299
Practice Address - Street 1:2160 NOLL DR STE 100
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-7608
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:2006-03-27
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X
FLAY1669231H00000X
PAAT001094L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA111954Medicare PIN