MEDICARE: NEIGHBORHOOD HEARING AID CENTERS LLC

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	1023	KS

General Provider Information

NPI Number	:	1275078255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIGHBORHOOD HEARING AID CENTERS LLC

Provider Business Mailing Address
First Line	:	4106 W 6TH ST STE E
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-4625
Country	:	US
Telephone Number	:	785-749-1885
Fax Number	:

Provider Business Practice Location Address
First Line	:	4106 W 6TH ST STE E
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-4625
Country	:	US
Telephone Number	:	785-749-1885
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SCOTT HESSELTINE
Credential	:	BC-HIS, ACA
Telephone Number	:	913-438-3000

Provider Enumeration Date	:	12/29/2016
Last Update Date	:	01/06/2017

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