Provider Demographics
NPI:1225359086
Name:COMPLETE EAR CARE, LLC
Entity Type:Organization
Organization Name:COMPLETE EAR CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:USHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEBBAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CCC-A
Authorized Official - Phone:812-523-6666
Mailing Address - Street 1:208 S CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-2328
Mailing Address - Country:US
Mailing Address - Phone:812-523-6666
Mailing Address - Fax:812-522-5599
Practice Address - Street 1:208 S CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-2328
Practice Address - Country:US
Practice Address - Phone:812-523-6666
Practice Address - Fax:812-522-5599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN2300289231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000187290OtherBLUE CROSS / BLUE SHIELD
IN381400POtherSIHO
INP00076418OtherMEDICARE RAILROAD
IN000000187289OtherBLUE CROSS BLUE SHIELD
IN200335660AMedicaid
IN179490Medicare PIN