Provider Demographics
NPI:1922244003
Name:NU-SOUND HEARING LIFE
Entity Type:Organization
Organization Name:NU-SOUND HEARING LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STATE COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:B
Authorized Official - Last Name:RIES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:405-755-6557
Mailing Address - Street 1:2501 W MEMORIAL RD STE 259A
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-8039
Mailing Address - Country:US
Mailing Address - Phone:405-755-6557
Mailing Address - Fax:
Practice Address - Street 1:101 N DOUGLAS BLVD STE E
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-3326
Practice Address - Country:US
Practice Address - Phone:405-732-9414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-19
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK907237700000X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Multi-Specialty