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NPI Code Detail

MEDICARE: HEARING PRO INC.

MEDICARE: HEARING PRO INC.
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
1332S00000XHearing Aid Equipment018373, 038732,02915MO
2237700000XHearing Instrument Specialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1169046OTHERMSBLUE CROSS BLUE SHIELD
2450002OTHERMOHEALTHLINK
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396820577
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEARING PRO INC.
Provider Business Mailing Address
First Line : 5220 S LINDBERGH BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63126-3519
Country : US
Telephone Number : 314-843-7233
Fax Number : 314-843-3979
Provider Business Practice Location Address
First Line : 5220 S LINDBERGH BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63126-3519
Country : US
Telephone Number : 314-843-7233
Fax Number : 314-843-3979
Authorized Official
Title or Position : PRESIDENT
Name : TIFFANY NELSON
Credential : HIS
Telephone Number : 314-843-7233
Provider Enumeration Date : 10/26/2006
Last Update Date : 06/12/2023

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