Provider Demographics
NPI:1699762880
Name:HEARING UNLIMITED LLC
Entity type:Organization
Organization Name:HEARING UNLIMITED LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:NBC HIS
Authorized Official - Phone:515-238-1367
Mailing Address - Street 1:PO BOX 808
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-0808
Mailing Address - Country:US
Mailing Address - Phone:515-233-1367
Mailing Address - Fax:515-233-1012
Practice Address - Street 1:118 E 13TH ST
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-5641
Practice Address - Country:US
Practice Address - Phone:515-233-1367
Practice Address - Fax:515-233-1012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA67237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0234708Medicaid
IAI8288Medicare ID - Type Unspecified