Provider Demographics
NPI:1508993098
Name:FAMILY HEARING AID CENTER
Entity Type:Organization
Organization Name:FAMILY HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:RANDY
Authorized Official - Last Name:WOHLERS
Authorized Official - Suffix:
Authorized Official - Credentials:BC HIS
Authorized Official - Phone:808-973-1551
Mailing Address - Street 1:98 200 KAMEHAMEHA HIGHWAY STE 306
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701
Mailing Address - Country:US
Mailing Address - Phone:808-483-4131
Mailing Address - Fax:808-483-4133
Practice Address - Street 1:98-200 KAMEHAMEHA HWY STE 306
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4329
Practice Address - Country:US
Practice Address - Phone:808-483-4131
Practice Address - Fax:808-483-4133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies