Healthcare Provider Details

I. General information

NPI: 1265766331
Provider Name (Legal Business Name): HEARING WELL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2009
Last Update Date: 04/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 25TH ST NW
CLEVELAND TN
37311-3871
US

IV. Provider business mailing address

4480 BRANDY OAKS DR NW
CLEVELAND TN
37312-1789
US

V. Phone/Fax

Practice location:
  • Phone: 423-508-9553
  • Fax:
Mailing address:
  • Phone: 423-508-9553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number735
License Number StateTN

VIII. Authorized Official

Name: MR. THOMAS CARL REESE
Title or Position: PRESIDENT
Credential: OWNER
Phone: 423-255-2443