Organization Name: | MT. ZION HEARING AID CENTER |
NPI Number: | 1801063409 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARBARA ROSE MOODY (HEARING INSTRUMENT SPECIALIST) |
Mailing Address: | 101a E Ashland Ave Mt Zion |
State: | IL US |
Postal Code: | 625491272 |
Phone Number: | 2178644327 |
Fax Number: | 2178640878 |
NPI Enumeration Date: | 05/13/2008 |
NPI Last Update Date: | 05/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | IL2776 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |