Organization
PAGE FAMILY HEARING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASSANDRA RENEE POPLAWSKI HIS (OWNER)
(219) 525-4485
Entity
Organization
Contact information
Practice address
112 E 90TH DR, MERRILLVILLE, IN 46410
(219) 525-4485
Mailing address
112 E 90TH DR, MERRILLVILLE, IN 46410
(219) 525-4485
(219) 472-0633
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17001344A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193400000X
WPC TAXONOMY CODES
IN
01
—
237700000X
WPC TAXONOMY CODES
IN
Enumeration date
06/03/2014
Last updated
12/01/2014
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