Provider Demographics
NPI:1972685386
Name:JOZSA HEARING CENTER, LLC
Entity type:Organization
Organization Name:JOZSA HEARING CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:JOZSA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-A
Authorized Official - Phone:316-283-3552
Mailing Address - Street 1:500 N MAIN ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-2211
Mailing Address - Country:US
Mailing Address - Phone:316-283-3552
Mailing Address - Fax:316-212-0374
Practice Address - Street 1:500 N MAIN ST
Practice Address - Street 2:SUITE 212
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-2211
Practice Address - Country:US
Practice Address - Phone:316-283-3552
Practice Address - Fax:316-212-0374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01189231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS116216Medicare ID - Type UnspecifiedGROUP NUMBER