Provider Demographics
NPI:1376005579
Name:HEARTLAND HEARING CENTER LLC
Entity Type:Organization
Organization Name:HEARTLAND HEARING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILLIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:HAS
Authorized Official - Phone:419-756-4283
Mailing Address - Street 1:787 LEXINGTON AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-1998
Mailing Address - Country:US
Mailing Address - Phone:419-756-4283
Mailing Address - Fax:419-756-6928
Practice Address - Street 1:787 LEXINGTON AVE STE 300
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-1998
Practice Address - Country:US
Practice Address - Phone:419-756-4283
Practice Address - Fax:419-756-6928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-05
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment