Provider Demographics
NPI:1952447286
Name:MIDWEST HEARING AIDS INC
Entity Type:Organization
Organization Name:MIDWEST HEARING AIDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:CLAUSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-A
Authorized Official - Phone:316-729-2711
Mailing Address - Street 1:10607 W MAPLE ST
Mailing Address - Street 2:STE #3
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-4042
Mailing Address - Country:US
Mailing Address - Phone:316-729-2711
Mailing Address - Fax:
Practice Address - Street 1:10607 W MAPLE ST
Practice Address - Street 2:STE #3
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-4042
Practice Address - Country:US
Practice Address - Phone:316-729-2711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01249237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100318730BMedicaid