Organization
CHARLES HARE HOLDING CO LLC
Active
Other names
Jackson County Audiology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E HARE M.S., CCCA (MEMBER)
(816) 373-7900
Entity
Organization
Contact information
Practice address
17020 E US HIGHWAY 40, SUITE 9, INDEPENDENCE, MO 64055-5361
(816) 373-7900
(816) 373-7969
Mailing address
17020 E US HIGHWAY 40, SUITE 9, INDEPENDENCE, MO 64055-5361
(816) 373-7900
(816) 373-7969
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
102183
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37585023
BLUE SHIELD
MO
Enumeration date
11/29/2006
Last updated
05/08/2009
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