Hearing Advantage LLC
Organization Active NPI Audiologist · Eagle River, WI
NPI 1942549282 · NPPES record last updated Feb 13, 2013
Key facts
- NPI
- 1942549282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Audiologist 231H00000X
- License
- 573156 (WI)
- Legal business name
- HEARING ADVANTAGE LLC
- Practice address
- 323 E Wall St
Eagle River, WI 54521-9811 - Phone
- (715) 298-4437
- Fax
- (715) 298-4439
- NPI assigned
- Feb 6, 2013
- Organization subpart
- No
Authorized official
- Name
- Jesse C Kaster
- Title
- Business Owner
- Phone
- (715) 362-3711
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Hearing Advantage LLC
Locations
323 E Wall St
Eagle River, WI 54521
Phone (715) 298-4437
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist |
231H00000X | 573156 | WI | Yes |
Addresses
Primary practice location
323 E Wall St
Eagle River, WI 54521-9811
Mailing address
5404 Alderson St
Suite 200
Schofield, WI 54476-2293
Phone (715) 298-4437
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42837100 | Medicaid | WI |
Other providers in Eagle River, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.