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Organization
CUSTOM HEARING SOLUTIONS
Active
Organization
CUSTOM HEARING SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY LEE ORESKOVICH JR. HIS (OWNER/OPERATOR)
(402) 515-9228
Entity
Organization
Contact information
Practice address
8712 WYOMING ST, OMAHA, NE 68122-5245
(402) 515-9228
(866) 826-9730
Mailing address
8712 WYOMING ST, OMAHA, NE 68122-5245
(402) 515-9228
(866) 826-9730
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
900773
NE
237700000X
Hearing Instrument Specialist
900773
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026089200
—
NE
Enumeration date
10/07/2011
Last updated
10/07/2011
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