Healthcare Provider Details

I. General information

NPI: 1902450588
Provider Name (Legal Business Name): HEARING CENTERS OF INDIANA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2019
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12315 HANCOCK ST STE 27
CARMEL IN
46032-5885
US

IV. Provider business mailing address

12315 HANCOCK ST STE 27
CARMEL IN
46032-5885
US

V. Phone/Fax

Practice location:
  • Phone: 317-727-1625
  • Fax:
Mailing address:
  • Phone: 317-688-1113
  • Fax: 317-975-0650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: TRAVIS MCCLOSKEY
Title or Position: OWNER
Credential:
Phone: 317-727-1625