Provider Demographics
NPI:1467819979
Name:HEARING HEALTHCARE MANAGEMENT
Entity Type:Organization
Organization Name:HEARING HEALTHCARE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DRENGLER
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:920-497-4600
Mailing Address - Street 1:550 N MILITARY AVE
Mailing Address - Street 2:STE 4A
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54303-4569
Mailing Address - Country:US
Mailing Address - Phone:920-410-4005
Mailing Address - Fax:
Practice Address - Street 1:550 N MILITARY AVE
Practice Address - Street 2:STE 4A
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54303-4569
Practice Address - Country:US
Practice Address - Phone:920-410-4005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1484-060332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment