MEDICARE: SOUND CHOICE HEARING CENTER 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
1	332S00000X	Hearing Aid Equipment	170001073A	IN

General Provider Information

NPI Number	:	1821444068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUND CHOICE HEARING CENTER INC

Provider Business Mailing Address
First Line	:	5501 E 71ST ST STE 5
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-3900
Country	:	US
Telephone Number	:	317-292-9854
Fax Number	:	317-362-0037

Provider Business Practice Location Address
First Line	:	5501 E 71ST ST STE 5
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-3900
Country	:	US
Telephone Number	:	317-292-9854
Fax Number	:	317-362-0037

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CHRISTOPHER C HILL
Credential	:	BC-HIS
Telephone Number	:	317-292-9854

Provider Enumeration Date	:	05/06/2016
Last Update Date	:	05/06/2016

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