MEDICARE: HILARY HANSCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	001086	IA

General Provider Information

NPI Number	:	1265834014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILARY HANSCH

Provider Business Mailing Address
First Line	:	217 S 25TH ST
Second Line	:	STE D5
City	:	FORT DODGE
State	:	IA
Zip	:	50501-4341
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	217 S 25TH ST
Second Line	:	STE D5
City	:	FORT DODGE
State	:	IA
Zip	:	50501-4341
Country	:	US
Telephone Number	:	515-576-4479
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2014
Last Update Date	:	09/24/2014

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