| NPI | 1992121628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAL HOOVER Ccc Audiologist 765-643-1842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332S00000X Hearing Aid Equipment (Licence: IN 23001002A) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |