Provider Demographics
NPI:1811631286
Name:DELLS HEARING CARE LLC
Entity Type:Organization
Organization Name:DELLS HEARING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/HIS
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BARRETT-NEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-253-0110
Mailing Address - Street 1:613 BROADWAY UNIT 1
Mailing Address - Street 2:
Mailing Address - City:WISCONSIN DELLS
Mailing Address - State:WI
Mailing Address - Zip Code:53965-1553
Mailing Address - Country:US
Mailing Address - Phone:608-253-0110
Mailing Address - Fax:
Practice Address - Street 1:613 BROADWAY UNIT 1
Practice Address - Street 2:
Practice Address - City:WISCONSIN DELLS
Practice Address - State:WI
Practice Address - Zip Code:53965-1553
Practice Address - Country:US
Practice Address - Phone:608-253-0110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment