Provider Demographics
NPI:1841492535
Name:ADVANTAGE HEARING AID CENTER
Entity type:Organization
Organization Name:ADVANTAGE HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNY
Authorized Official - Middle Name:J
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:HCP
Authorized Official - Phone:605-361-6713
Mailing Address - Street 1:5032 S BUR OAK PL
Mailing Address - Street 2:SUITE 117
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-4224
Mailing Address - Country:US
Mailing Address - Phone:605-361-6713
Mailing Address - Fax:605-362-4896
Practice Address - Street 1:5032 S BUR OAK PL
Practice Address - Street 2:SUITE 117
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-4224
Practice Address - Country:US
Practice Address - Phone:605-361-6713
Practice Address - Fax:605-362-4896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistGroup - Single Specialty