Provider Demographics
NPI:1700275112
Name:NS HEARING NETWORK
Entity Type:Organization
Organization Name:NS HEARING NETWORK
Other - Org Name:WILLOUGHBY HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOENBORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-858-0300
Mailing Address - Street 1:26222 RR 12
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-4903
Mailing Address - Country:US
Mailing Address - Phone:512-858-0300
Mailing Address - Fax:512-858-2714
Practice Address - Street 1:3506 MAIN ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-2224
Practice Address - Country:US
Practice Address - Phone:360-260-2898
Practice Address - Fax:360-696-9517
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCCRAE MANAGEMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-01-22
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment