Provider Demographics
NPI:1841770294
Name:HANSIS, RONDALD LOUIS (HEARING AID SPECIALI)
Entity Type:Individual
Prefix:MR
First Name:RONDALD
Middle Name:LOUIS
Last Name:HANSIS
Suffix:
Gender:M
Credentials:HEARING AID SPECIALI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:NORTH MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29582-3310
Mailing Address - Country:US
Mailing Address - Phone:843-663-4327
Mailing Address - Fax:843-663-3277
Practice Address - Street 1:640 6TH AVE S
Practice Address - Street 2:
Practice Address - City:NORTH MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29582-3310
Practice Address - Country:US
Practice Address - Phone:843-663-4327
Practice Address - Fax:843-663-3277
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHAS-0454237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist