Healthcare Provider Details

I. General information

NPI: 1730512138
Provider Name (Legal Business Name): HOMETOWN HEARING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2013
Last Update Date: 05/12/2023
Certification Date: 05/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1813 WILLOW STREET SUITE 4B
VINCENNES IN
47591
US

IV. Provider business mailing address

1813 WILLOW STREET SUITE 4B
VINCENNES IN
47591
US

V. Phone/Fax

Practice location:
  • Phone: 812-882-2075
  • Fax: 812-882-7073
Mailing address:
  • Phone: 812-882-2075
  • Fax: 812-882-7073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number17001277A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. KARIN S SCHMIDT
Title or Position: OWNER
Credential: BC-HIS
Phone: 812-882-2075