Provider Demographics
NPI:1003985938
Name:HEARING IMPROVEMENT CENTER LLC
Entity Type:Organization
Organization Name:HEARING IMPROVEMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER LLC
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:DUMAINE
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCCA
Authorized Official - Phone:860-529-3443
Mailing Address - Street 1:28 NORTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-1971
Mailing Address - Country:US
Mailing Address - Phone:860-561-2345
Mailing Address - Fax:860-561-2666
Practice Address - Street 1:28 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-1971
Practice Address - Country:US
Practice Address - Phone:860-561-2345
Practice Address - Fax:860-561-2666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
5813236OtherAETNA
730000154CT02OtherANTHEM BLUE
P365924OtherOXFORD
P848736OtherOXFORD
4499372OtherAETNA
XV5339OtherHEALTHNET
730000154CT01OtherANTHEM BLUE
2211721OtherUS HEALTHCARE
OV5339OtherHEALTHNET
OV5578OtherHEALTHNET
CT004173564Medicaid
5813236OtherAETNA
730000154CT02OtherANTHEM BLUE
=========OtherSOLDIERS SAILORS AND MARI
4499372OtherAETNA
OV5578OtherHEALTHNET
730000154CT02OtherANTHEM BLUE
730000154CT01OtherANTHEM BLUE
640003385Medicare ID - Type UnspecifiedRAILROAD
CT004173564Medicaid