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Organization
AUDIOLOGY AND HEARING AID SERVICES
Active
Organization
AUDIOLOGY AND HEARING AID SERVICES
Active
Other names
AUDIOLOGY AND HEARING AID SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BALKO (OWNER)
(800) 471-8592
Entity
Organization
Contact information
Practice address
100 N KEEL RIDGE RD, HERMITAGE, PA 16148-3440
(800) 471-8592
Mailing address
100 N KEEL RIDGE RD, HERMITAGE, PA 16148-3440
(800) 471-8592
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
PA
332B00000X
Durable Medical Equipment & Medical Supplies
F03245
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007407040005
—
PA
01
—
1034278
GATEWAY
PA
01
—
1065434
WORKERS COMP
WV
01
—
210962
UPMC
PA
01
—
891579
BLUE CROSS
PA
Enumeration date
06/24/2005
Last updated
12/19/2007
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