Healthcare Provider Details

I. General information

NPI: 1073811089
Provider Name (Legal Business Name): HEARCARE CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2011
Last Update Date: 03/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1914 CHARLOTTE AVE SUITE 103
NASHVILLE TN
37203-2198
US

IV. Provider business mailing address

1914 CHARLOTTE AVE SUITE 103
NASHVILLE TN
37203-2198
US

V. Phone/Fax

Practice location:
  • Phone: 615-218-5152
  • Fax:
Mailing address:
  • Phone: 615-218-5152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL JON KAYE
Title or Position: OWNER/ PRESIDENT
Credential:
Phone: 615-218-5152