MEDICARE: HEARING AID OUTLET

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	332S00000X	Hearing Aid Equipment	17001114A	IN

General Provider Information

NPI Number	:	1285956839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARING AID OUTLET

Provider Business Mailing Address
First Line	:	0660 E 200 S
Second Line	:
City	:	HARTFORD CITY
State	:	IN
Zip	:	47348-9733
Country	:	US
Telephone Number	:	765-348-3558
Fax Number	:	765-348-4381

Provider Business Practice Location Address
First Line	:	1608 N CHERRY ST
Second Line	:
City	:	HARTFORD CITY
State	:	IN
Zip	:	47348-1356
Country	:	US
Telephone Number	:	765-348-3558
Fax Number	:	765-348-4381

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DANNY L AHRENS
Credential	:
Telephone Number	:	765-348-3558

Provider Enumeration Date	:	02/24/2010
Last Update Date	:	02/24/2010

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Directions to “HEARING AID OUTLET ” Practice Location

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