Provider Demographics
NPI:1851413777
Name:HEARING AID CENTERS LLC
Entity Type:Organization
Organization Name:HEARING AID CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:DUPERIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-322-7648
Mailing Address - Street 1:112 S MAIN ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:EL DORADO
Mailing Address - State:KS
Mailing Address - Zip Code:67042-3481
Mailing Address - Country:US
Mailing Address - Phone:316-322-7648
Mailing Address - Fax:316-322-7648
Practice Address - Street 1:112 S MAIN ST
Practice Address - Street 2:SUITE 105
Practice Address - City:EL DORADO
Practice Address - State:KS
Practice Address - Zip Code:67042-3481
Practice Address - Country:US
Practice Address - Phone:316-322-7648
Practice Address - Fax:316-322-7648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100426980AMedicaid