Provider Demographics
NPI:1821226267
Name:TLC HEARING CENTER INC.
Entity Type:Organization
Organization Name:TLC HEARING CENTER INC.
Other - Org Name:AUDIO PROFESSIONALS INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CO-OWNER / TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:F
Authorized Official - Last Name:ALLES
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:260-747-0135
Mailing Address - Street 1:6704 OLD TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46809-2639
Mailing Address - Country:US
Mailing Address - Phone:260-747-0135
Mailing Address - Fax:
Practice Address - Street 1:6704 OLD TRAIL RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46809-2639
Practice Address - Country:US
Practice Address - Phone:260-747-0135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-24
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17000598A237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty