Organization Name: | MID SOUTH HEARING LLC |
NPI Number: | 1467822346 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA LEE (HEARING INSTRUMENT SPECIALIST) |
Mailing Address: | 7831 Wakeley Plz Omaha |
State: | NE US |
Postal Code: | 681143651 |
Phone Number: | 4025043478 |
Fax Number: | 1025044068 |
NPI Enumeration Date: | 10/05/2015 |
NPI Last Update Date: | 10/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | 797 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
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. |