Healthcare Provider Details

I. General information

NPI: 1922244003
Provider Name (Legal Business Name): NU-SOUND HEARING LIFE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2008
Last Update Date: 10/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N DOUGLAS BLVD STE E
MIDWEST CITY OK
73130-3326
US

IV. Provider business mailing address

2501 W MEMORIAL RD STE 259A
OKLAHOMA CITY OK
73134-8039
US

V. Phone/Fax

Practice location:
  • Phone: 405-732-9414
  • Fax:
Mailing address:
  • Phone: 405-755-6557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number907
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number907
License Number StateOK

VIII. Authorized Official

Name: MR. WILLIAM B RIES JR.
Title or Position: STATE COORDINATOR
Credential:
Phone: 405-755-6557