Organization
PROFESSIONAL HEARING CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALENTINA BACHNIVSKY MAT (PRESIDENT)
(765) 664-3470
Entity
Organization
Contact information
Practice address
915 N WESTERN AVE, MARION, IN 46952-2505
(765) 664-3470
(765) 664-3489
Mailing address
PO BOX 106, MARION, IN 46952-0106
(765) 664-3470
(765) 664-3489
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000188598
BLUE CROSS - AUDIOLOGY
—
01
—
000000209060
BLUE CROSS - HEARING AIDS
—
05
—
100417580A
—
IN
Enumeration date
11/15/2005
Last updated
04/30/2008
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