MEDICARE: ROBERT MATHES HEARING INSTUMENT

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	17001441A	IN

General Provider Information

NPI Number	:	1972042208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT MATHES HEARING INSTUMENT

Provider Business Mailing Address
First Line	:	2927 BRILL RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46225-2441
Country	:	US
Telephone Number	:	317-492-3142
Fax Number	:

Provider Business Practice Location Address
First Line	:	1299 W 86TH ST
Second Line	:	SUITE A
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-2203
Country	:	US
Telephone Number	:	317-872-5200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2017
Last Update Date	:	02/20/2017

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