Provider Demographics
NPI:1669624102
Name:HEARING LIFE
Entity type:Organization
Organization Name:HEARING LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:H.I.S.
Authorized Official - Prefix:MR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:W
Authorized Official - Last Name:HALLIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:303-426-0633
Mailing Address - Street 1:11150 HURON ST STE 208
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-4378
Mailing Address - Country:US
Mailing Address - Phone:303-426-0633
Mailing Address - Fax:303-426-0759
Practice Address - Street 1:11150 HURON ST STE 208
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-4378
Practice Address - Country:US
Practice Address - Phone:303-426-0633
Practice Address - Fax:303-426-0759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment