Healthcare Provider Details

I. General information

NPI: 1306029749
Provider Name (Legal Business Name): CENTERS FOR HEARING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2007
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11496 BROADWAY
CROWN POINT IN
46307-7106
US

IV. Provider business mailing address

1653 THORNAPPLE CIR
VALPARAISO IN
46385-5496
US

V. Phone/Fax

Practice location:
  • Phone: 219-662-9103
  • Fax: 219-662-9186
Mailing address:
  • Phone: 219-477-4730
  • Fax: 219-462-6115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROGER D PAUL
Title or Position: PRESIDENT
Credential: AU.D.
Phone: 219-662-9103