Organization
COMPLETE EAR CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
USHA HEBBAR PH.D., CCC-A (CHAIRMAN)
(812) 523-6666
Entity
Organization
Contact information
Practice address
208 S CHESTNUT ST, SEYMOUR, IN 47274-2328
(812) 523-6666
(812) 522-5599
Mailing address
208 S CHESTNUT ST, SEYMOUR, IN 47274-2328
(812) 523-6666
(812) 522-5599
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2300289
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000187289
BLUE CROSS BLUE SHIELD
IN
01
—
000000187290
BLUE CROSS / BLUE SHIELD
IN
05
—
200335660A
—
IN
01
—
381400P
SIHO
IN
01
—
P00076418
MEDICARE RAILROAD
IN
Enumeration date
06/16/2010
Last updated
06/16/2010
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