Provider Demographics
NPI:1578925376
Name:NEW HORIZONS HEARING INC
Entity Type:Organization
Organization Name:NEW HORIZONS HEARING INC
Other - Org Name:MIRACLE EAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BLAKE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:BCHIS
Authorized Official - Phone:801-631-8436
Mailing Address - Street 1:6576 S 1615 E
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-2521
Mailing Address - Country:US
Mailing Address - Phone:801-631-8436
Mailing Address - Fax:
Practice Address - Street 1:1471 DEWAR DR STE 143
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-5815
Practice Address - Country:US
Practice Address - Phone:307-632-2662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY152332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment