Organization Name: | HEARING SYSTEMS OF JEFFERSON CITY MISSOURI |
NPI Number: | 1023464492 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WARREN DALE SPENCER (OWNER) |
Mailing Address: | 315 Ellis Blvd Ste 202 Jefferson City |
State: | MO US |
Postal Code: | 651017802 |
Phone Number: | 5736366061 |
Fax Number: | 5736362675 |
NPI Enumeration Date: | 05/04/2016 |
NPI Last Update Date: | 05/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | 911052 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Hearing Aid Equipment |
Taxonomy Specialization: | |
Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |