Provider Demographics
NPI:1285906610
Name:HEARING PROFESSIONALS INC
Entity type:Organization
Organization Name:HEARING PROFESSIONALS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TJADEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-583-0864
Mailing Address - Street 1:116 S RUM RIVER DR STE 195
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:MN
Mailing Address - Zip Code:55371-1859
Mailing Address - Country:US
Mailing Address - Phone:763-389-9662
Mailing Address - Fax:763-389-9676
Practice Address - Street 1:116 S RUM RIVER DR STE 195
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:MN
Practice Address - Zip Code:55371-1859
Practice Address - Country:US
Practice Address - Phone:763-389-9662
Practice Address - Fax:763-389-9676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment