=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053671198
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEARING AID SOLUTIONS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/23/2012
-----------------------------------------------------
Last Update Date | 05/23/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5 MASCOUTAH PLAZA DR
-----------------------------------------------------
City | MASCOUTAH
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 62258-1350
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 618-566-7770
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5 MASCOUTAH PLAZA DR
-----------------------------------------------------
City | MASCOUTAH
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 62258-1350
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | RICHARD CURRY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 618-566-7770
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 237700000X
-----------------------------------------------------
Taxonomy Name | Hearing Instrument Specialist
-----------------------------------------------------
License Number | 2224
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------