Provider Demographics
NPI:1740651488
Name:SOUND SOLUTIONS HEARING INC.
Entity type:Organization
Organization Name:SOUND SOLUTIONS HEARING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHNNIE JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLE
Authorized Official - Suffix:
Authorized Official - Credentials:HAD
Authorized Official - Phone:765-465-4563
Mailing Address - Street 1:330 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-2945
Mailing Address - Country:US
Mailing Address - Phone:765-465-4563
Mailing Address - Fax:765-465-4563
Practice Address - Street 1:330 PARKVIEW DR
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-2945
Practice Address - Country:US
Practice Address - Phone:765-465-4563
Practice Address - Fax:765-465-4563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001318A332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201299380AMedicaid