Provider Demographics
NPI:1437747060
Name:WARRIOR HEARING CENTER OF SMITHVILLE, LLC
Entity Type:Organization
Organization Name:WARRIOR HEARING CENTER OF SMITHVILLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:RICHBOURG
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:816-592-3575
Mailing Address - Street 1:1103 S US HIGHWAY 169 STE F
Mailing Address - Street 2:
Mailing Address - City:SMITHVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64089-9322
Mailing Address - Country:US
Mailing Address - Phone:816-592-3575
Mailing Address - Fax:
Practice Address - Street 1:1103 S US HIGHWAY 169 STE F
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:MO
Practice Address - Zip Code:64089-9322
Practice Address - Country:US
Practice Address - Phone:816-592-3575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty