Provider Demographics
NPI:1770683799
Name:HEARING UNLIMITED
Entity Type:Organization
Organization Name:HEARING UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:FRY
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:660-665-9114
Mailing Address - Street 1:400 N BALTIMORE ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-3200
Mailing Address - Country:US
Mailing Address - Phone:660-665-9114
Mailing Address - Fax:660-665-9114
Practice Address - Street 1:400 N BALTIMORE ST
Practice Address - Street 2:SUITE B
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501-3200
Practice Address - Country:US
Practice Address - Phone:660-665-9114
Practice Address - Fax:660-665-9114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1080237700000X
MO0725237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO617678OtherHEALTH LINK