Provider Demographics
NPI:1477123784
Name:WASS HEARING AIDS LLC
Entity Type:Organization
Organization Name:WASS HEARING AIDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-657-8618
Mailing Address - Street 1:52 W MAIN ST STE E
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46122-1704
Mailing Address - Country:US
Mailing Address - Phone:317-657-8618
Mailing Address - Fax:
Practice Address - Street 1:52 W MAIN ST STE E
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IN
Practice Address - Zip Code:46122-1704
Practice Address - Country:US
Practice Address - Phone:317-657-8618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty