Provider Demographics
NPI:1215350442
Name:ABSOLUTE HEARING LLC.
Entity type:Organization
Organization Name:ABSOLUTE HEARING LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:HARLEY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GOODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:417-582-5015
Mailing Address - Street 1:1403 W STATE HIGHWAY J
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-7473
Mailing Address - Country:US
Mailing Address - Phone:417-582-5015
Mailing Address - Fax:417-582-5016
Practice Address - Street 1:1403 W STATE HIGHWAY J
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-7473
Practice Address - Country:US
Practice Address - Phone:417-582-5015
Practice Address - Fax:417-582-5016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-23
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008028706332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment