Basic Information
Provider Information
NPI: 1821463746
EntityType: 2
ReplacementNPI:  
OrganizationName: CONNECT HEARING, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 750 N COMMONS DR STE 200
Address2:  
City: AURORA
State: IL
PostalCode: 605047940
CountryCode: US
TelephoneNumber: 6303035380
FaxNumber: 6303035385
Practice Location
Address1: 801 N LINDSAY ST
Address2: STE A
City: HIGH POINT
State: NC
PostalCode: 272623942
CountryCode: US
TelephoneNumber: 3368832815
FaxNumber: 3368821234
Other Information
ProviderEnumerationDate: 12/03/2015
LastUpdateDate: 10/28/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: KENNEDY
AuthorizedOfficialFirstName: DAWN
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CFO
AuthorizedOfficialTelephone: 6303035380
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/28/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
237700000X  N193400000X MULTIPLE SINGLE SPECIALTY GROUPSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist 
231H00000X  N193400000X MULTIPLE SINGLE SPECIALTY GROUPSpeech, Language and Hearing Service ProvidersAudiologist 
237600000X  N193400000X MULTIPLE SINGLE SPECIALTY GROUPSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter 
332S00000X  Y SuppliersHearing Aid Equipment 

No ID Information.


Home