MEDICARE: HEAR FOR LIFE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332S00000X	Hearing Aid Equipment	6314898-4601	UT

General Provider Information

NPI Number	:	1467749416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAR FOR LIFE

Provider Business Mailing Address
First Line	:	1515 N 400 E
Second Line	:	SUITE 105
City	:	LOGAN
State	:	UT
Zip	:	84341-7561
Country	:	US
Telephone Number	:	435-787-8895
Fax Number	:	435-787-8654

Provider Business Practice Location Address
First Line	:	1515 N 400 E
Second Line	:	SUITE 105
City	:	LOGAN
State	:	UT
Zip	:	84341-7561
Country	:	US
Telephone Number	:	435-787-8895
Fax Number	:	435-787-8654

Authorized Official
Title or Position	:	OWNER/DISPENSER
Name	:	DANE JUSTIN CARD
Credential	:	B.C. H.I.S
Telephone Number	:	435-787-8895

Provider Enumeration Date	:	06/28/2011
Last Update Date	:	06/28/2011

Similar Medicare Providers

1669858585 — DR. JARED VERNON HALL D.C.
Practice Location Address:

1515 N 400 E , SUITE 106
LOGAN, UT
84341-7561

Practice Phone: 435-787-1787
Practice Fax: 435-787-1797

1083886865 — HEALTH WEST, INC.
Practice Location Address:

1515 N 400 E , SUITE 104
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84341-7561

Practice Phone: 435-755-8424
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1770724841 — F. MICHAEL CRANE M.D
Practice Location Address:

1515 N 400 E , 104
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84341-7561

Practice Phone: 435-755-6061
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1356576821 — SCOTT HARRIS
Practice Location Address:

1515 N 400 E , SUITE 105
LOGAN, UT
84341-7561

Practice Phone: 435-787-8895
Practice Fax: 435-787-8654

1417182999 — HEAR FOR LIFE HEARING CENTERS
Practice Location Address:

1515 N 400 E , SUITE 105
LOGAN, UT
84341-7561

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1720496714 — SVEN LEE PEERY DMD
Practice Location Address:

1515 N 400 E , SUITE 104
NORTH LOGAN, UT
84341-7561

Practice Phone: 435-755-6061
Practice Fax: 435-755-6091

Directions to “HEAR FOR LIFE ” Practice Location

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