Provider Demographics
NPI:1205268844
Name:HEARINGREVOLUTION INC
Entity type:Organization
Organization Name:HEARINGREVOLUTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:SMALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-407-6810
Mailing Address - Street 1:5600 S QUEBEC ST
Mailing Address - Street 2:STE 126B
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2207
Mailing Address - Country:US
Mailing Address - Phone:303-407-6810
Mailing Address - Fax:
Practice Address - Street 1:5600 S QUEBEC ST
Practice Address - Street 2:STE 126B
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2207
Practice Address - Country:US
Practice Address - Phone:303-407-6810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment