Provider Demographics
NPI:1356678973
Name:MID-STATES HEARING AID CENTER
Entity Type:Organization
Organization Name:MID-STATES HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING AID SPECIALIST, OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:REINDL
Authorized Official - Suffix:
Authorized Official - Credentials:HAD
Authorized Official - Phone:319-338-0211
Mailing Address - Street 1:417 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-2373
Mailing Address - Country:US
Mailing Address - Phone:319-338-0211
Mailing Address - Fax:
Practice Address - Street 1:417 10TH AVE
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-2373
Practice Address - Country:US
Practice Address - Phone:319-338-0211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA313332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment