1255605655 NPI number — HEARING PROFESSIONALS OF AMERICA LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255605655 NPI number — HEARING PROFESSIONALS OF AMERICA LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEARING PROFESSIONALS OF AMERICA LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255605655
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/02/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3108 S ROUTE 59
Provider Second Line Business Mailing Address:
SUITE 124-295
Provider Business Mailing Address City Name:
NAPERVILLE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60564-8021
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-612-1267
Provider Business Mailing Address Fax Number:
815-676-3997

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5325 VINNING ST NW
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
CONCORD
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28027-2942
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-612-1267
Provider Business Practice Location Address Fax Number:
815-676-3997
Provider Enumeration Date:
03/02/2012

Additional Information

Authorized Official

Authorized Official Last Name:
CONREY
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
BRIAND
Authorized Official Title or Position:
ADMIN
Authorized Official Telephone Number:
888-612-1267

Provider Taxonomy Codes

  • Taxonomy code: 332S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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