Healthcare Provider Details
I. General information
NPI: 1275778938
Provider Name (Legal Business Name): BETTER HEARING CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/10/2008
Last Update Date: 08/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
#30 RONNIE'S PLAZA
ST. LOUIS MO
63126
US
IV. Provider business mailing address
#30 RONNIE'S PLAZA
ST. LOUIS MO
63126
US
V. Phone/Fax
- Phone: 866-696-5958
- Fax: 618-288-2084
- Phone: 866-696-5958
- Fax: 618-288-2084
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 01636 |
| License Number State | MO |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: MR.
TERALANDUR
K.
PARTHASARATHY
Title or Position: PRESIDENT/OWNER
Credential: PH.D
Phone: 314-892-3500