Provider Demographics
NPI:1467448217
Name:HEARING UNLIMITED LLC
Entity Type:Organization
Organization Name:HEARING UNLIMITED LLC
Other - Org Name:BLACK HAWK HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-233-1367
Mailing Address - Street 1:PO BOX 712
Mailing Address - Street 2:834 W 4TH ST
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50704-0712
Mailing Address - Country:US
Mailing Address - Phone:319-234-4360
Mailing Address - Fax:319-235-5360
Practice Address - Street 1:834 W 4TH ST
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50702-2102
Practice Address - Country:US
Practice Address - Phone:319-234-4360
Practice Address - Fax:319-235-5360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA67237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0935841Medicaid
IA0935841Medicaid