Healthcare Provider Details

I. General information

NPI: 1609998400
Provider Name (Legal Business Name): YON HEARING INSTRUMENTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 POTOSI ST STE A
FARMINGTON MO
63640-2436
US

IV. Provider business mailing address

310 POTOSI ST STE A PO BOX 112
FARMINGTON MO
63640-2436
US

V. Phone/Fax

Practice location:
  • Phone: 573-756-1919
  • Fax: 573-756-9089
Mailing address:
  • Phone: 573-756-1919
  • Fax: 573-756-9089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1040
License Number StateMO

VIII. Authorized Official

Name: MR. JORGEN C WIBSKOV
Title or Position: PRESIDENT
Credential: BCHIS
Phone: 573-756-1919