Provider Demographics
NPI:1508234006
Name:HEARING HEALTHCARE, INC.
Entity Type:Organization
Organization Name:HEARING HEALTHCARE, INC.
Other - Org Name:MIRACLE-EARA CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LONNIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-923-0464
Mailing Address - Street 1:1110 COLLEGE ST SE STE A
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-5745
Mailing Address - Country:US
Mailing Address - Phone:360-923-0464
Mailing Address - Fax:360-923-2438
Practice Address - Street 1:1110 COLLEGE ST SE STE A
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-5745
Practice Address - Country:US
Practice Address - Phone:360-923-0464
Practice Address - Fax:360-923-2438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHA00000950237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty