Provider Demographics
NPI:1952440547
Name:OLATHE HEARING AID
Entity Type:Organization
Organization Name:OLATHE HEARING AID
Other - Org Name:ADVANCED HEARING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:BS, BC-HIS
Authorized Official - Phone:913-764-5355
Mailing Address - Street 1:153 W 151ST ST STE 140
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-5300
Mailing Address - Country:US
Mailing Address - Phone:913-764-5355
Mailing Address - Fax:913-764-6455
Practice Address - Street 1:153 W 151ST ST STE 140
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-5300
Practice Address - Country:US
Practice Address - Phone:913-764-5355
Practice Address - Fax:913-764-6455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2128231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty