Healthcare Provider Details

I. General information

NPI: 1275997132
Provider Name (Legal Business Name): HEAR INDIANA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2016
Last Update Date: 10/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4740 KINGSWAY DR SUITE 33
INDIANAPOLIS IN
46205-1521
US

IV. Provider business mailing address

4740 KINGSWAY DR SUITE 33
INDIANAPOLIS IN
46205-1521
US

V. Phone/Fax

Practice location:
  • Phone: 317-828-0211
  • Fax: 888-887-0932
Mailing address:
  • Phone: 317-828-0211
  • Fax: 888-887-0932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. NAOMI HORTON
Title or Position: EXECUTIVE DIRECTOR
Credential: CCC
Phone: 317-828-0211