Organization
CROWN POINT FAMILY HEARING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER D PAUL AU.D., FAAA (AUDIOLOGIST/OWNER)
(219) 662-9103
Entity
Organization
Contact information
Practice address
11496 BROADWAY, CROWN POINT, IN 46307-7106
(219) 662-9103
(219) 662-9186
Mailing address
11496 BROADWAY, CROWN POINT, IN 46307-7106
(219) 662-9103
(219) 662-9186
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381649
ANTHEM/BCBS
IL
Enumeration date
08/24/2005
Last updated
08/22/2020
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