Healthcare Provider Details

I. General information

NPI: 1295670396
Provider Name (Legal Business Name): BLUE HAT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3924 SHERMAN AVE
SAINT JOSEPH MO
64506-3648
US

IV. Provider business mailing address

3924 SHERMAN AVE
SAINT JOSEPH MO
64506-3648
US

V. Phone/Fax

Practice location:
  • Phone: 816-273-0074
  • Fax:
Mailing address:
  • Phone: 816-273-0074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. JONATHAN SCHNEIDER
Title or Position: OWNER
Credential: BCHIS
Phone: 660-247-1078