Provider Demographics
NPI:1679905913
Name:WESTERN HEARING SOLUTIONS
Entity Type:Organization
Organization Name:WESTERN HEARING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAMERON
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ELLISON
Authorized Official - Suffix:
Authorized Official - Credentials:HIS, COHC
Authorized Official - Phone:308-379-4773
Mailing Address - Street 1:20201 I ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68135-3799
Mailing Address - Country:US
Mailing Address - Phone:308-379-4773
Mailing Address - Fax:866-614-5256
Practice Address - Street 1:125 W 6TH ST
Practice Address - Street 2:
Practice Address - City:WAHOO
Practice Address - State:NE
Practice Address - Zip Code:68066-1646
Practice Address - Country:US
Practice Address - Phone:402-443-4003
Practice Address - Fax:866-614-5256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-08
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE787237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty