Provider Demographics
NPI:1508315235
Name:DR GEISSLERS HEARING CENTER INC
Entity Type:Organization
Organization Name:DR GEISSLERS HEARING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEON
Authorized Official - Last Name:TOLLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-931-4725
Mailing Address - Street 1:7134 CALUMET AVE
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46324-2406
Mailing Address - Country:US
Mailing Address - Phone:219-931-4725
Mailing Address - Fax:219-932-4028
Practice Address - Street 1:10110 DONALD S. POWERS DRIVE
Practice Address - Street 2:SUITE 202A
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-9191
Practice Address - Country:US
Practice Address - Phone:219-836-0022
Practice Address - Fax:219-836-7922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty