Provider Demographics
NPI:1639346893
Name:ADVANCED HEARING CARE
Entity Type:Organization
Organization Name:ADVANCED HEARING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:STRUCKHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:314-910-9423
Mailing Address - Street 1:901 PATIENTS FIRST DR
Mailing Address - Street 2:SUITE 1510
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-4700
Mailing Address - Country:US
Mailing Address - Phone:636-390-2007
Mailing Address - Fax:636-390-0143
Practice Address - Street 1:901 PATIENTS FIRST DR
Practice Address - Street 2:SUITE 1510
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-4700
Practice Address - Country:US
Practice Address - Phone:636-390-2007
Practice Address - Fax:636-390-0143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1199237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty