Basic Information
Provider Information
NPI: 1144382185
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EMANUELE
FirstName: ARTHUR
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: HAF
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2510 E SUNSET RD
Address2: UNIT 5-260
City: LAS VEGAS
State: NV
PostalCode: 891203511
CountryCode: US
TelephoneNumber: 7027980113
FaxNumber: 8662915242
Practice Location
Address1: 2300 FREEPORT RD STE 25
Address2:  
City: NEW KENSINGTON
State: PA
PostalCode: 150684669
CountryCode: US
TelephoneNumber: 7243396631
FaxNumber: 7243397369
Other Information
ProviderEnumerationDate: 12/15/2006
LastUpdateDate: 02/12/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
237700000XF03299PAY Speech, Language and Hearing Service ProvidersHearing Instrument Specialist 

No ID Information.


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