Healthcare Provider Details

I. General information

NPI: 1164163911
Provider Name (Legal Business Name): MY HEARING COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 04/05/2022
Certification Date: 04/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1491 MONTGOMERY HWY
VESTAVIA HILLS AL
35216-3633
US

IV. Provider business mailing address

1491 MONTGOMERY HWY
VESTAVIA HILLS AL
35216-3633
US

V. Phone/Fax

Practice location:
  • Phone: 205-824-8070
  • Fax:
Mailing address:
  • Phone: 205-822-0700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: JACOB HENDON
Title or Position: HCP
Credential:
Phone: 205-822-0700