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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