Healthcare Provider Details
I. General information
NPI: 1275306615
Provider Name (Legal Business Name): NEBRASKA HEARING INSTRUMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/06/2023
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
609 14TH ST STE B
SIOUX CITY IA
51105-1261
US
IV. Provider business mailing address
7829 CHICAGO PLZ
OMAHA NE
68114-3653
US
V. Phone/Fax
- Phone: 402-933-1453
- Fax:
- Phone: 402-933-1453
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
SCHERLIZIN
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 402-933-1453