Provider Demographics
NPI:1871043208
Name:A NEW LIFE HEARING AID LLC
Entity Type:Organization
Organization Name:A NEW LIFE HEARING AID LLC
Other - Org Name:A NEW LIFE HEARING AID CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:MEIER
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING AID SPC
Authorized Official - Phone:541-805-9057
Mailing Address - Street 1:909 MAIN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:LA GRANDE
Mailing Address - State:OR
Mailing Address - Zip Code:97850-2255
Mailing Address - Country:US
Mailing Address - Phone:541-805-9057
Mailing Address - Fax:
Practice Address - Street 1:909 MAIN AVE
Practice Address - Street 2:SUITE B
Practice Address - City:LA GRANDE
Practice Address - State:OR
Practice Address - Zip Code:97850-2255
Practice Address - Country:US
Practice Address - Phone:541-805-9057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment