Provider Demographics
NPI:1679885636
Name:BLUE BELL HEARING AID CENTER INC.
Entity type:Organization
Organization Name:BLUE BELL HEARING AID CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUTZKY
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:215-641-1317
Mailing Address - Street 1:P.O. BOX 619
Mailing Address - Street 2:821 N. BETHLEHEM PIKE
Mailing Address - City:SPRING HOUSE
Mailing Address - State:PA
Mailing Address - Zip Code:19477-0619
Mailing Address - Country:US
Mailing Address - Phone:215-641-1317
Mailing Address - Fax:215-641-0677
Practice Address - Street 1:821 N. BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:SPRING HOUSE
Practice Address - State:PA
Practice Address - Zip Code:19477-0619
Practice Address - Country:US
Practice Address - Phone:215-641-1317
Practice Address - Fax:215-641-0677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-07
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF02953237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty