Provider Demographics
NPI:1518170174
Name:OLATHE HEARING AID INC.
Entity Type:Organization
Organization Name:OLATHE HEARING AID INC.
Other - Org Name:ADVANCED HEARING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:A
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-262-4327
Mailing Address - Street 1:3520 W 75TH ST
Mailing Address - Street 2:#104
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-4102
Mailing Address - Country:US
Mailing Address - Phone:913-262-4327
Mailing Address - Fax:
Practice Address - Street 1:3520 W 75TH ST
Practice Address - Street 2:#104
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-4102
Practice Address - Country:US
Practice Address - Phone:913-262-4327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1275237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty