Provider Demographics
NPI:1982990883
Name:HEARING HEALTH ASSOCIATES
Entity Type:Organization
Organization Name:HEARING HEALTH ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:VANSTRATEN
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:920-217-2740
Mailing Address - Street 1:2140 HOLMGREN WAY
Mailing Address - Street 2:SUITE 1020
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54304-4670
Mailing Address - Country:US
Mailing Address - Phone:920-217-2740
Mailing Address - Fax:
Practice Address - Street 1:2140 HOLMGREN WAY
Practice Address - Street 2:SUITE 1020
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54304-4670
Practice Address - Country:US
Practice Address - Phone:920-217-2740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1184060332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment