Provider Demographics
NPI:1376616516
Name:MISSOURI HEARING ASSOCIATE LLC
Entity Type:Organization
Organization Name:MISSOURI HEARING ASSOCIATE LLC
Other - Org Name:AMPLIFON HEARING AID CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FRANCHISE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:M
Authorized Official - Last Name:O'GARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-782-2546
Mailing Address - Street 1:13600 S ALDEN ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-5829
Mailing Address - Country:US
Mailing Address - Phone:913-782-2546
Mailing Address - Fax:913-782-4216
Practice Address - Street 1:1000 NE SAM WALTON LN
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-8426
Practice Address - Country:US
Practice Address - Phone:816-554-0640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty