Organization
MID SOUTH HEARING LLC
Active
Other names
Miracle Ear
Organization subpart
No
Provider details
NPI number
Authorized official
CORY POPELKA (HEARING INSTRUMENT SPECIALIST)
(402) 504-3952
Entity
Organization
Contact information
Practice address
16236 EVANS PLZ, OMAHA, NE 68116-6449
(402) 504-3952
Mailing address
131 ENTERPRISE RD, JOHNSTOWN, NY 12095-3326
(401) 353-4174
(401) 488-5774
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Enumeration date
10/05/2015
Last updated
06/02/2020
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