Provider Demographics
NPI:1316495559
Name:CASTUERAS HEARING SERVICES, INC
Entity type:Organization
Organization Name:CASTUERAS HEARING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:CASTUERAS
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:812-883-2615
Mailing Address - Street 1:9 PUBLIC SQ
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:IN
Mailing Address - Zip Code:47167-2051
Mailing Address - Country:US
Mailing Address - Phone:812-883-2615
Mailing Address - Fax:812-703-9512
Practice Address - Street 1:9 PUBLIC SQ
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:IN
Practice Address - Zip Code:47167-2051
Practice Address - Country:US
Practice Address - Phone:812-883-2615
Practice Address - Fax:812-703-9512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-16
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty