Organization
VERSAILLES HEARING LLC
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA SUE THOMAS HIS/IT (HEARING INSTURMENT SPECIALIST/INTRA)
(573) 378-1900
Entity
Organization
Contact information
Practice address
115 W NEWTON ST, VERSAILLES, MO 65084-1039
(573) 378-1900
(573) 378-2190
Mailing address
115 W NEWTON ST, VERSAILLES, MO 65084-1039
(573) 378-1900
(573) 378-2190
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
389.10
HEARING AID PROVIDER UPIN #
MO
Enumeration date
07/06/2009
Last updated
07/06/2009
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