Provider Demographics
NPI:1265766331
Name:HEARING WELL, INC.
Entity type:Organization
Organization Name:HEARING WELL, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:REESE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:423-255-2443
Mailing Address - Street 1:4480 BRANDY OAKS DR NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-1789
Mailing Address - Country:US
Mailing Address - Phone:423-508-9553
Mailing Address - Fax:
Practice Address - Street 1:60 25TH ST NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-3871
Practice Address - Country:US
Practice Address - Phone:423-508-9553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN735332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1588913925OtherPROVIDER