Provider Demographics
NPI:1861829988
Name:HEAR WELL HEARING CARE CENTRE
Entity Type:Organization
Organization Name:HEAR WELL HEARING CARE CENTRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING AIDE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:BETTIS
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:217-824-5210
Mailing Address - Street 1:1221 W SPRESSER ST
Mailing Address - Street 2:
Mailing Address - City:TAYLORVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62568
Mailing Address - Country:US
Mailing Address - Phone:217-824-5210
Mailing Address - Fax:217-824-5211
Practice Address - Street 1:1221 W SPRESSER ST
Practice Address - Street 2:
Practice Address - City:TAYLORVILLE
Practice Address - State:IL
Practice Address - Zip Code:62568-1714
Practice Address - Country:US
Practice Address - Phone:217-824-5210
Practice Address - Fax:217-824-5211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1966332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment