Healthcare Provider Details

I. General information

NPI: 1427514710
Provider Name (Legal Business Name): CONN HEARING AID CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2019
Last Update Date: 02/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1516 SPRING STREET
JEFFERSONVILLE IN
47130
US

IV. Provider business mailing address

1516 SPRING STREET
JEFFERSONVILLE IN
47130
US

V. Phone/Fax

Practice location:
  • Phone: 812-282-3676
  • Fax: 812-282-3697
Mailing address:
  • Phone: 812-282-3676
  • Fax: 812-282-3697

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: RAYMOND E CONN
Title or Position: HEARING INSTRUMENT SPECIALIST/OWNER
Credential: HIS
Phone: 812-282-3676