Basic Information
| Provider Information | |||||||||
| NPI: | 1033502414 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BEAUTIFUL HEARING, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 745 12TH AVE S | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341027377 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2392634972 | ||||||||
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| Practice Location | |||||||||
| Address1: | 745 12TH AVE S | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341027377 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2392634972 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/10/2015 | ||||||||
| LastUpdateDate: | 03/10/2015 | ||||||||
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| AuthorizedOfficialLastName: | HORGAN | ||||||||
| AuthorizedOfficialFirstName: | CRAIG | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | VP | ||||||||
| AuthorizedOfficialTelephone: | 2392634972 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | H.A.S. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332S00000X | AS-4048 | FL | Y | Suppliers | Hearing Aid Equipment |
No ID Information.