Provider Demographics
NPI:1306507371
Name:DISCOUNTED MOBILE HEARING AIDS
Entity type:Organization
Organization Name:DISCOUNTED MOBILE HEARING AIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:KECK
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:317-961-1200
Mailing Address - Street 1:8308 LAKE TREE LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46217-4719
Mailing Address - Country:US
Mailing Address - Phone:317-961-1200
Mailing Address - Fax:
Practice Address - Street 1:8308 LAKE TREE LN
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46217-4719
Practice Address - Country:US
Practice Address - Phone:317-961-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment