Healthcare Provider Details

I. General information

NPI: 1114129988
Provider Name (Legal Business Name): HEARING HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 N MAIN ST STE. B
HARRISON AR
72601-2912
US

IV. Provider business mailing address

707 N MAIN ST STE. B
HARRISON AR
72601-2912
US

V. Phone/Fax

Practice location:
  • Phone: 870-741-2774
  • Fax: 870-741-1538
Mailing address:
  • Phone: 870-741-2774
  • Fax: 870-741-1538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number519
License Number StateAR

VIII. Authorized Official

Name: MR. LANE SCOTT WHITAKER
Title or Position: OWNER DISPENSER
Credential: BC-HIS, ACA
Phone: 870-741-2774