Provider Demographics
NPI:1932244217
Name:JOHN R. EVERETT
Entity Type:Organization
Organization Name:JOHN R. EVERETT
Other - Org Name:ACOUSTIC HEARING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MARGIT
Authorized Official - Middle Name:E
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-387-2195
Mailing Address - Street 1:1121 DALLAS DR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-5100
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1121 DALLAS DR
Practice Address - Street 2:SUITE 6
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-5100
Practice Address - Country:US
Practice Address - Phone:940-387-2195
Practice Address - Fax:940-565-5973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146287101Medicaid
TX6274096OtherCIGNA
TX516541OtherBLUE CROSS BLUE SHIELD
TX2931013OtherAETNA