Healthcare Provider Details
I. General information
NPI: 1609168574
Provider Name (Legal Business Name): HEARING SOLUTIONS PLUS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/10/2011
Last Update Date: 05/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4770 S EMERSON AVE SUITE I
INDIANAPOLIS IN
46203-6913
US
IV. Provider business mailing address
4770 S EMERSON AVE SUITE I
INDIANAPOLIS IN
46203-6913
US
V. Phone/Fax
- Phone: 317-608-0219
- Fax:
- Phone: 317-608-0219
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | |
| License Number State | IN |
VIII. Authorized Official
Name: MR.
RYAN
M
THOMAS
Title or Position: PRESIDENT
Credential:
Phone: 317-608-0219