Organization
MOSS HEARING AIDS, INCORPORATED
Active
Other names
Moss Hearing Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J MOSS AU.D. (OWNER)
(217) 223-0204
Entity
Organization
Contact information
Practice address
114 N 6TH ST, QUINCY, IL 62301-2904
(217) 223-0204
(217) 223-0274
Mailing address
114 N 6TH ST, QUINCY, IL 62301-2904
(217) 223-0204
(217) 223-0274
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
147000603
IL
237600000X
Audiologist-Hearing Aid Fitter
Primary
147000603
IL
332S00000X
Hearing Aid Equipment
147000603
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00132059
BLUE CROSS/BLUE SHIELD OF IL
IL
01
—
147000603
DEPT OF PROFESSIONAL REGU
IL
01
—
1528264447
INDIVIDUAL NPI #
IL
05
—
324426333002
—
IL
Enumeration date
03/05/2007
Last updated
10/28/2008
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