MEDICARE: NEBRASKA HEARING INSTRUMENTS 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	332S00000X	Hearing Aid Equipment	765	NE

General Provider Information

NPI Number	:	1649539545
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEBRASKA HEARING INSTRUMENTS LLC

Provider Business Mailing Address
First Line	:	7829 CHICAGO PLZ
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-3653
Country	:	US
Telephone Number	:	402-933-1453
Fax Number	:	402-763-8872

Provider Business Practice Location Address
First Line	:	7829 CHICAGO PLZ
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-3653
Country	:	US
Telephone Number	:	402-933-1453
Fax Number	:	402-763-8872

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	TED N. GRANGER JR.
Credential	:	H.I.S.
Telephone Number	:	402-933-1453

Provider Enumeration Date	:	05/11/2012
Last Update Date	:	09/20/2016

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