Healthcare Provider Details

I. General information

NPI: 1255605655
Provider Name (Legal Business Name): HEARING PROFESSIONALS OF AMERICA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2012
Last Update Date: 03/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5325 VINNING ST NW SUITE 202
CONCORD NC
28027-2942
US

IV. Provider business mailing address

3108 S ROUTE 59 SUITE 124-295
NAPERVILLE IL
60564-8021
US

V. Phone/Fax

Practice location:
  • Phone: 888-612-1267
  • Fax: 815-676-3997
Mailing address:
  • Phone: 888-612-1267
  • Fax: 815-676-3997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. JOHN BRIAND CONREY
Title or Position: ADMIN
Credential:
Phone: 888-612-1267