=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538394986
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NU-EAR HEARING AID SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/28/2009
-----------------------------------------------------
Last Update Date | 05/28/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3626 HENDERSON BLVD
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33609-4502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-876-8374
-----------------------------------------------------
Fax | 813-879-6760
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3626 HENDERSON BLVD
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33609-4502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-876-8374
-----------------------------------------------------
Fax | 813-879-6760
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | STEPHEN J SPETH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 813-876-8374
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 237700000X
-----------------------------------------------------
Taxonomy Name | Hearing Instrument Specialist
-----------------------------------------------------
License Number | 1448
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------