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Hearing Associates of Dothan, LLC

Details

Name: Hearing Associates of Dothan, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 27 Aug 2008 (16 years ago) (Companies founded in August 2008)
Entity Number: 000-424-413
Register Number: 000424413
ZIP code: 36305 (Companies in Houston, 36305)
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 220 BRUSHFIRE DRDOTHAN, AL 36305

Activities PROVIDE ASSISTANCE TO THE HEARING IMPAIRED

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497900518 2008-11-18 2018-06-16 200 GROVE PARK LN STE 800, DOTHAN, AL, 363055912, US 200 GROVE PARK LN STE 800, DOTHAN, AL, 363055912, US

Contacts

Phone +1 334-702-4327
Fax 3347024328

Authorized person

Name DR. JAMIE BURTON SHUMAKER
Role AUDIOLOGIST/MEMBER
Phone 3347024327

Taxonomy

Taxonomy Code 231H00000X - Audiologist
Is Primary No
Taxonomy Code 237600000X - Audiologist-Hearing Aid Fitter
License Number 961A
State AL
Is Primary Yes
Taxonomy Code 237600000X - Audiologist-Hearing Aid Fitter
License Number 923A
State AL
Is Primary No

Other Provider Identifiers

Issuer BCBS OF ALABAMA
Number 515
State AL

Agent

Name Role
SHUMAKER, JAMIE Agent

Member

Name Role
SHUMAKER, JAMIE Member
WILKES, ROBYN Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State