Provider Demographics
NPI: | 1689256760 |
---|---|
Name: | A&A HEARING GROUP, LLC |
Entity type: | Organization |
Organization Name: | A&A HEARING GROUP, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ROSS |
Authorized Official - Middle Name: | EMERSON |
Authorized Official - Last Name: | CUSHING |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | AUD |
Authorized Official - Phone: | 301-358-1833 |
Mailing Address - Street 1: | 19110 MONTGOMERY VILLAGE AVE STE 120 |
Mailing Address - Street 2: | |
Mailing Address - City: | MONTGOMERY VILLAGE |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 20886-3706 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 301-977-6317 |
Mailing Address - Fax: | 301-977-8503 |
Practice Address - Street 1: | 3301 NEW MEXICO AVE NW |
Practice Address - Street 2: | |
Practice Address - City: | WASHINGTON |
Practice Address - State: | DC |
Practice Address - Zip Code: | 20016-3622 |
Practice Address - Country: | US |
Practice Address - Phone: | 301-977-6317 |
Practice Address - Fax: | 301-977-8503 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-04-27 |
Last Update Date: | 2021-04-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 237600000X | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter | Group - Single Specialty |