Healthcare Provider Details

I. General information

NPI: 1396820577
Provider Name (Legal Business Name): HEARING PRO INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 06/12/2023
Certification Date: 06/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5220 S LINDBERGH BLVD
SAINT LOUIS MO
63126-3519
US

IV. Provider business mailing address

5220 S LINDBERGH BLVD
SAINT LOUIS MO
63126-3519
US

V. Phone/Fax

Practice location:
  • Phone: 314-843-7233
  • Fax: 314-843-3979
Mailing address:
  • Phone: 314-843-7233
  • Fax: 314-843-3979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number018373, 038732,02915
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY NELSON
Title or Position: PRESIDENT
Credential: HIS
Phone: 314-843-7233