{
"Npi": {
"NPI": "1609034669",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PANHANDLE HEARING INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "662 HIGHWAY 98 E",
"SecondLineMailingAddress": "STE 140",
"MailingAddressCityName": "DESTIN",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32541-2473",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "850-650-6988",
"MailingAddressFaxNumber": "850-650-6989",
"FirstLinePracticeLocationAddress": "300 MARY ESTHER BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MARY ESTHER",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32569-1693",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "850-243-3196",
"PracticeLocationAddressFaxNumber": "850-243-8294",
"EnumerationDate": "05/27/2008",
"LastUpdateDate": "05/27/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HICKS",
"AuthorizedOfficialFirstName": "CHRISTOPHER",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "HEARING INSTRUMENT SPECIALIST/VP",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "BC-HIS",
"AuthorizedOfficialTelephoneNumber": "850-243-3196",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251K00000X",
"TaxonomyName": "Public Health or Welfare Agency",
"LicenseNumber": "270010706883",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}