MEDICARE: WEBB HEARING 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	HAD 1268	AZ

General Provider Information

NPI Number	:	1588032999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEBB HEARING LLC

Provider Business Mailing Address
First Line	:	14755 W R H JOHNSON BLVD
Second Line	:	SUITE 102
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-6059
Country	:	US
Telephone Number	:	623-214-5885
Fax Number	:	888-894-2680

Provider Business Practice Location Address
First Line	:	14755 W R H JOHNSON BLVD
Second Line	:	SUITE 102
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-6059
Country	:	US
Telephone Number	:	623-214-5885
Fax Number	:	888-894-2680

Authorized Official
Title or Position	:	OWNER
Name	:	MR. LARRY DEAN WEBB
Credential	:	HIS
Telephone Number	:	623-214-5885

Provider Enumeration Date	:	09/02/2015
Last Update Date	:	09/02/2015

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