Provider Demographics
NPI:1497041339
Name:EARCARE GROUP LLC
Entity Type:Organization
Organization Name:EARCARE GROUP LLC
Other - Org Name:EARCARE HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:C
Authorized Official - Last Name:HIDALGO
Authorized Official - Suffix:JR
Authorized Official - Credentials:LICENSED TO FIT/DISP
Authorized Official - Phone:316-269-4327
Mailing Address - Street 1:303 S HYDRAULIC ST
Mailing Address - Street 2:SUITE #3
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67211-1908
Mailing Address - Country:US
Mailing Address - Phone:316-269-4327
Mailing Address - Fax:316-262-4327
Practice Address - Street 1:303 S HYDRAULIC ST
Practice Address - Street 2:SUITE #3
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67211-1908
Practice Address - Country:US
Practice Address - Phone:316-269-4327
Practice Address - Fax:316-262-4327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS1117332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment