Provider Demographics
NPI:1639525942
Name:DOUGLAS HOLDING GROUP
Entity Type:Organization
Organization Name:DOUGLAS HOLDING GROUP
Other - Org Name:HEARING AIDS PLUS USA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:S
Authorized Official - Last Name:DOUGLAS
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:260-749-1818
Mailing Address - Street 1:7525 MAPLECREST RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46835-1897
Mailing Address - Country:US
Mailing Address - Phone:260-749-1818
Mailing Address - Fax:
Practice Address - Street 1:6424 E STATE BLVD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46815-7025
Practice Address - Country:US
Practice Address - Phone:260-749-1818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001443A237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty