Provider Demographics
NPI:1205237609
Name:SOUNDLIFE HEARING TECHNOLOGIES, LLC.
Entity type:Organization
Organization Name:SOUNDLIFE HEARING TECHNOLOGIES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:V
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-753-2971
Mailing Address - Street 1:1394 S STATE HIGHWAY 125
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65742-8387
Mailing Address - Country:US
Mailing Address - Phone:417-753-2971
Mailing Address - Fax:417-753-2971
Practice Address - Street 1:1394 S STATE HIGHWAY 125
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65742-8387
Practice Address - Country:US
Practice Address - Phone:417-753-2971
Practice Address - Fax:417-753-2971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-05
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment