Provider Demographics
NPI:1477938835
Name:LOOPING PROFESSIONALS LLC
Entity Type:Organization
Organization Name:LOOPING PROFESSIONALS LLC
Other - Org Name:AUDIBEL HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:ROBIN
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:605-721-7427
Mailing Address - Street 1:2120 W MAIN ST STE 7
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-2465
Mailing Address - Country:US
Mailing Address - Phone:605-721-7427
Mailing Address - Fax:
Practice Address - Street 1:2120 W MAIN ST
Practice Address - Street 2:STE 7
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-2465
Practice Address - Country:US
Practice Address - Phone:605-721-7427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOOPING PROFESSIONALS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD350H261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD1174899579OtherNPI