Basic Information
| Provider Information | |||||||||
| NPI: | 1720483019 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DONCHATZ | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | ANDREW | ||||||||
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| Credential: | HEARING AID DEALER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 215 SHUMAN BLVD STE 401 | ||||||||
| Address2: | |||||||||
| City: | NAPERVILLE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605638123 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6303035380 | ||||||||
| FaxNumber: | 6303035385 | ||||||||
| Practice Location | |||||||||
| Address1: | 216 LEON SULLIVAN WAY | ||||||||
| Address2: | |||||||||
| City: | CHARLESTON | ||||||||
| State: | WV | ||||||||
| PostalCode: | 253012409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3043466521 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/29/2014 | ||||||||
| LastUpdateDate: | 12/14/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | 03015 | OH | N | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist | 237700000X | 987 | WV | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.