Provider Demographics
NPI:1891084893
Name:HEARING LIFESTYLES LLC
Entity Type:Organization
Organization Name:HEARING LIFESTYLES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ROSIEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-379-3333
Mailing Address - Street 1:162 STONY CREEK OVERLOOK
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-5430
Mailing Address - Country:US
Mailing Address - Phone:317-379-3333
Mailing Address - Fax:
Practice Address - Street 1:162 STONY CREEK OVERLOOK
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-5430
Practice Address - Country:US
Practice Address - Phone:317-379-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty