Provider Demographics
NPI:1780868307
Name:THE HEARING CLINIC
Entity Type:Organization
Organization Name:THE HEARING CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:D
Authorized Official - Last Name:HAUSLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:309-343-9393
Mailing Address - Street 1:PO BOX 869
Mailing Address - Street 2:
Mailing Address - City:GALESBURG
Mailing Address - State:IL
Mailing Address - Zip Code:61402-0869
Mailing Address - Country:US
Mailing Address - Phone:309-343-4448
Mailing Address - Fax:309-343-2107
Practice Address - Street 1:360 E LOSEY ST
Practice Address - Street 2:
Practice Address - City:GALESBURG
Practice Address - State:IL
Practice Address - Zip Code:61401-2843
Practice Address - Country:US
Practice Address - Phone:309-343-4448
Practice Address - Fax:309-343-2107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Multi-Specialty