Healthcare Provider Details

I. General information

NPI: 1649539545
Provider Name (Legal Business Name): NEBRASKA HEARING INSTRUMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2012
Last Update Date: 09/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7829 CHICAGO PLZ
OMAHA NE
68114-3653
US

IV. Provider business mailing address

7829 CHICAGO PLZ
OMAHA NE
68114-3653
US

V. Phone/Fax

Practice location:
  • Phone: 402-933-1453
  • Fax: 402-763-8872
Mailing address:
  • Phone: 402-933-1453
  • Fax: 402-763-8872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number765
License Number StateNE

VIII. Authorized Official

Name: TED N. GRANGER JR.
Title or Position: MANAGING PARTNER
Credential: H.I.S.
Phone: 402-933-1453