Provider Demographics
NPI:1992742233
Name:MIDWEST EAR INSTITUTE INC
Entity type:Organization
Organization Name:MIDWEST EAR INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAVERTA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-932-1660
Mailing Address - Street 1:4200 PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-6913
Mailing Address - Country:US
Mailing Address - Phone:816-932-1660
Mailing Address - Fax:816-932-1675
Practice Address - Street 1:4200 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-6913
Practice Address - Country:US
Practice Address - Phone:816-932-1660
Practice Address - Fax:816-932-1675
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST LUKE'S HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-02
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO6090000Medicare ID - Type UnspecifiedPROVIDER NUMBER