Provider Demographics
NPI:1952545402
Name:HEARMORE HEARING AID CENTER
Entity Type:Organization
Organization Name:HEARMORE HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-771-4019
Mailing Address - Street 1:1445 WHITE BEAR AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-2404
Mailing Address - Country:US
Mailing Address - Phone:651-771-4019
Mailing Address - Fax:651-771-9941
Practice Address - Street 1:1445 WHITE BEAR AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-2404
Practice Address - Country:US
Practice Address - Phone:651-771-4019
Practice Address - Fax:651-771-9941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment