Provider Demographics
NPI:1588290175
Name:ALLEN REESE HEARING AID CENTER, INC.
Entity type:Organization
Organization Name:ALLEN REESE HEARING AID CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:NOFTSGER
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:574-936-8878
Mailing Address - Street 1:322 N MICHIGAN ST STE C
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:IN
Mailing Address - Zip Code:46563-1760
Mailing Address - Country:US
Mailing Address - Phone:574-936-8878
Mailing Address - Fax:574-936-8878
Practice Address - Street 1:322 N MICHIGAN ST STE C
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:IN
Practice Address - Zip Code:46563-1760
Practice Address - Country:US
Practice Address - Phone:574-936-8878
Practice Address - Fax:574-936-8878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-16
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty