Provider Demographics
NPI:1679763452
Name:MIDWEST HEARING CONSULTANTS, INC
Entity Type:Organization
Organization Name:MIDWEST HEARING CONSULTANTS, INC
Other - Org Name:SHERARD HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECREATARY/TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:R
Authorized Official - Last Name:JUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-635-7415
Mailing Address - Street 1:2821 AVENUE B
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-4370
Mailing Address - Country:US
Mailing Address - Phone:308-635-7415
Mailing Address - Fax:308-635-2678
Practice Address - Street 1:2821 AVENUE B
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-4370
Practice Address - Country:US
Practice Address - Phone:308-635-7415
Practice Address - Fax:308-635-2678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========00Medicaid