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NPI Code Detail

MEDICARE: HEARING AID SPECIALISTS INC

MEDICARE: HEARING AID SPECIALISTS 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
1237700000XHearing Instrument Specialist

General Provider Information

NPI Number : 1619164191
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEARING AID SPECIALISTS INC
Provider Business Mailing Address
First Line : 304 MAIN STREET
Second Line :
City : BOONVILLE
State : MO
Zip : 65233-1566
Country : US
Telephone Number : 660-882-5370
Fax Number :
Provider Business Practice Location Address
First Line : 304 MAIN STREET
Second Line :
City : BOONVILLE
State : MO
Zip : 65233-1566
Country : US
Telephone Number : 660-882-5370
Fax Number :
Authorized Official
Title or Position : OWNER PRESIDENT
Name : RAY RICHARD SANCHEZ
Credential :
Telephone Number : 660-882-5370
Provider Enumeration Date : 09/28/2007
Last Update Date : 09/28/2007

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