Provider Demographics
NPI:1306191630
Name:SIZELOVE'S HEARING AID CENTER
Entity Type:Organization
Organization Name:SIZELOVE'S HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SIZELOVE
Authorized Official - Suffix:
Authorized Official - Credentials:AUDIOLOGY
Authorized Official - Phone:765-623-2787
Mailing Address - Street 1:3084 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46012-1258
Mailing Address - Country:US
Mailing Address - Phone:765-623-2787
Mailing Address - Fax:
Practice Address - Street 1:3084 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46012-1258
Practice Address - Country:US
Practice Address - Phone:765-623-2787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001124A332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment