Provider Demographics
NPI:1013392133
Name:HEARUSA
Entity Type:Organization
Organization Name:HEARUSA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:316-727-4640
Mailing Address - Street 1:183 CONCORD PLAZA SHOPPING CTR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-1307
Mailing Address - Country:US
Mailing Address - Phone:314-849-9700
Mailing Address - Fax:314-849-2027
Practice Address - Street 1:183 CONCORD PLAZA SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-1307
Practice Address - Country:US
Practice Address - Phone:314-849-9700
Practice Address - Fax:314-849-2027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty