Healthcare Provider Details

I. General information

NPI: 1801429345
Provider Name (Legal Business Name): ELITE HEARING CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2020
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 JOHN ST STE 110
EVANSVILLE IN
47713-2746
US

IV. Provider business mailing address

815 JOHN ST STE 110
EVANSVILLE IN
47713-2746
US

V. Phone/Fax

Practice location:
  • Phone: 812-589-5824
  • Fax:
Mailing address:
  • Phone: 812-589-5824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTHONY W WILSON
Title or Position: OWNER
Credential:
Phone: 270-821-9451