Provider Demographics
NPI:1366628166
Name:HEARING LIFE USA INC
Entity Type:Organization
Organization Name:HEARING LIFE USA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF MANAGED CARE
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-639-1931
Mailing Address - Street 1:2501 COTTONTAIL LANE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1231
Mailing Address - Country:US
Mailing Address - Phone:888-906-7141
Mailing Address - Fax:
Practice Address - Street 1:2501 COTTONTAIL LANE
Practice Address - Street 2:SUITE 101
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1231
Practice Address - Country:US
Practice Address - Phone:888-906-7141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332S00000XSuppliersHearing Aid Equipment