Provider Demographics
NPI:1184959934
Name:HEARING HEALTH CARE CENTERS,INC.
Entity type:Organization
Organization Name:HEARING HEALTH CARE CENTERS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FENNEMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-924-9380
Mailing Address - Street 1:770 S MAIN ST
Mailing Address - Street 2:C-14
Mailing Address - City:FOND DU LAC
Mailing Address - State:WI
Mailing Address - Zip Code:54935-5766
Mailing Address - Country:US
Mailing Address - Phone:920-924-9380
Mailing Address - Fax:920-924-9384
Practice Address - Street 1:770 S MAIN ST
Practice Address - Street 2:C-14
Practice Address - City:FOND DU LAC
Practice Address - State:WI
Practice Address - Zip Code:54935-5766
Practice Address - Country:US
Practice Address - Phone:920-924-9380
Practice Address - Fax:920-924-9384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech