Provider Demographics
NPI:1255701066
Name:NEIGHBORHOOD HEARING AID CENTER LLC
Entity type:Organization
Organization Name:NEIGHBORHOOD HEARING AID CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HESSELTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-438-3000
Mailing Address - Street 1:200 SOUTHWIND PL
Mailing Address - Street 2:SUITE #103
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-3186
Mailing Address - Country:US
Mailing Address - Phone:913-438-3000
Mailing Address - Fax:913-438-3003
Practice Address - Street 1:200 SOUTHWIND PL
Practice Address - Street 2:SUITE #103
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503-3186
Practice Address - Country:US
Practice Address - Phone:913-438-3000
Practice Address - Fax:913-438-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-06
Last Update Date:2019-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1023OtherSTATE DISPENSING LICENSE