| Organization Name: | PANHANDLE HEARING INC |
| NPI Number: | 1609034669 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER R HICKS (HEARING INSTRUMENT SPECIALIST/VP) |
| Mailing Address: | 300 Mary Esther Blvd Mary Esther |
| State: | FL US |
| Postal Code: | 325691693 |
| Phone Number: | 8502433196 |
| Fax Number: | 8502438294 |
| NPI Enumeration Date: | 05/27/2008 |
| NPI Last Update Date: | 05/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 270010706883 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |