Provider Demographics
NPI:1427760941
Name:PRO HEARING CARE LLC
Entity type:Organization
Organization Name:PRO HEARING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:D
Authorized Official - Last Name:LANGE
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:262-844-9027
Mailing Address - Street 1:720 N ROCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:MUKWONAGO
Mailing Address - State:WI
Mailing Address - Zip Code:53149-1188
Mailing Address - Country:US
Mailing Address - Phone:262-269-5107
Mailing Address - Fax:
Practice Address - Street 1:720 N ROCHESTER ST
Practice Address - Street 2:
Practice Address - City:MUKWONAGO
Practice Address - State:WI
Practice Address - Zip Code:53149-1188
Practice Address - Country:US
Practice Address - Phone:262-269-5107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty