Provider Demographics
NPI:1851410229
Name:HEARALL CORPORATION
Entity Type:Organization
Organization Name:HEARALL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-299-3000
Mailing Address - Street 1:4836 REAN MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45440-2031
Mailing Address - Country:US
Mailing Address - Phone:937-299-3000
Mailing Address - Fax:
Practice Address - Street 1:4836 REAN MEADOW DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45440-2031
Practice Address - Country:US
Practice Address - Phone:937-299-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02575332S00000X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332S00000XSuppliersHearing Aid EquipmentGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
$$$$$$$$$OtherSSN# ANTHEM
000000000825OtherHEARING AID SUPPLIER
000000204899OtherAUDIOLOGY, PIN# ANTHEM
22000000272850OtherPROVIDER # ANTHEM