MEDICARE: FAMILY HEARING CENTER

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	17001135A	IN

General Provider Information

NPI Number	:	1528230992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HEARING CENTER

Provider Business Mailing Address
First Line	:	977A S KENMORE DR
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47714-7514
Country	:	US
Telephone Number	:	812-475-9987
Fax Number	:

Provider Business Practice Location Address
First Line	:	977A S KENMORE DR
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47714-7514
Country	:	US
Telephone Number	:	812-475-9987
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SCOTT WINGET
Credential	:	HAD
Telephone Number	:	812-475-9987

Provider Enumeration Date	:	03/26/2008
Last Update Date	:	03/26/2008

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Directions to “FAMILY HEARING CENTER ” Practice Location

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