Healthcare Provider Details
I. General information
NPI: 1336638816
Provider Name (Legal Business Name): AMERICA'S BEST HEARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/09/2018
Last Update Date: 05/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3603 ROUND LAKE BLVD NW STE 102
ANOKA MN
55303-5057
US
IV. Provider business mailing address
4119 SUN N LAKE BLVD
SEBRING FL
33872-2131
US
V. Phone/Fax
- Phone: 763-450-5430
- Fax:
- Phone: 863-402-0094
- Fax: 863-402-0096
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | 1601000448 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | AS4868 |
| License Number State | FL |
VIII. Authorized Official
Name: MR.
STEPHEN
LEONARD
REINSHUTTLE
Title or Position: CEO
Credential: BC- HIS
Phone: 512-970-0384