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Organization
AUDIOLOGY AND HEARING AID SERVICES, INC
Active
Organization
AUDIOLOGY AND HEARING AID SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT LUSTIG PH.D, CCC-A (AUDIOLOGIST)
(304) 345-8522
Entity
Organization
Contact information
Practice address
2205 WASHINGTON ST E, CHARLESTON, WV 25311-2218
(304) 345-8522
(304) 344-5305
Mailing address
2205 WASHINGTON ST E, CHARLESTON, WV 25311-2218
(304) 345-8522
(304) 344-5305
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022588
WORKER'S COMPENSATION
WV
05
—
4000074000
—
WV
Enumeration date
04/17/2007
Last updated
08/22/2020
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