Provider Demographics
NPI:1558758417
Name:YOGI HICKS HEARING AID LABS, LLC.
Entity Type:Organization
Organization Name:YOGI HICKS HEARING AID LABS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOGI
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-781-7710
Mailing Address - Street 1:1416 S JOPLIN AVE
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64801-4524
Mailing Address - Country:US
Mailing Address - Phone:800-477-7710
Mailing Address - Fax:417-781-7710
Practice Address - Street 1:1416 S JOPLIN AVE
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64801-4524
Practice Address - Country:US
Practice Address - Phone:800-477-7710
Practice Address - Fax:417-781-7710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-18
Last Update Date:2015-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment