Provider Demographics
NPI:1316377807
Name:PRO-CARE HEARING AID CENTER
Entity type:Organization
Organization Name:PRO-CARE HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:BC HIS
Authorized Official - Phone:405-275-5585
Mailing Address - Street 1:313 N UNION AVE
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74801-7065
Mailing Address - Country:US
Mailing Address - Phone:405-275-5585
Mailing Address - Fax:405-275-6486
Practice Address - Street 1:313 N UNION AVE
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74801-7065
Practice Address - Country:US
Practice Address - Phone:405-275-5585
Practice Address - Fax:405-275-6486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment