Provider Demographics
NPI:1396820577
Name:HEARING PRO INC.
Entity Type:Organization
Organization Name:HEARING PRO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:314-843-7233
Mailing Address - Street 1:5220 S LINDBERGH BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63126-3519
Mailing Address - Country:US
Mailing Address - Phone:314-843-7233
Mailing Address - Fax:314-843-3979
Practice Address - Street 1:5220 S LINDBERGH BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63126-3519
Practice Address - Country:US
Practice Address - Phone:314-843-7233
Practice Address - Fax:314-843-3979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237700000X
MO018373, 038732,02915332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS169046OtherBLUE CROSS BLUE SHIELD
MO450002OtherHEALTHLINK
MO347241101Medicaid