Healthcare Provider Details

I. General information

NPI: 1487791109
Provider Name (Legal Business Name): PROFESSIONAL HEARING AID ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 01/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5101 SW 21ST ST SUITE 100
TOPEKA KS
66604-4419
US

IV. Provider business mailing address

5101 SW 21ST ST SUITE 100
TOPEKA KS
66604-4419
US

V. Phone/Fax

Practice location:
  • Phone: 785-271-6966
  • Fax: 785-272-6874
Mailing address:
  • Phone: 785-271-6966
  • Fax: 785-272-6874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number482
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: MR. HARRY HOWARD HILDERMAN
Title or Position: OWNER
Credential:
Phone: 785-271-6966