Organization Name: | B & P HEARING AID CO. INC |
NPI Number: | 1306948617 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON M PETTY (HEARING INSTRUMENT SPECIALIST/OWNER) |
Mailing Address: | 2055 W Highway 50 Fairview Heights |
State: | IL US |
Postal Code: | 62208 |
Phone Number: | 6186246485 |
Fax Number: | 6186246702 |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | 2748 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | IL |
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. |