Healthcare Provider Details

I. General information

NPI: 1013392133
Provider Name (Legal Business Name): HEARUSA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2015
Last Update Date: 07/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 CONCORD PLAZA SHOPPING CTR
SAINT LOUIS MO
63128-1307
US

IV. Provider business mailing address

183 CONCORD PLAZA SHOPPING CTR
SAINT LOUIS MO
63128-1307
US

V. Phone/Fax

Practice location:
  • Phone: 314-849-9700
  • Fax: 314-849-2027
Mailing address:
  • Phone: 314-849-9700
  • Fax: 314-849-2027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JAEL HALL
Title or Position: AUDIOLOGIST
Credential: AUD
Phone: 316-727-4640