Organization
SIKESTON HEARING AID CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI LYNN PETERS BC-HIS (OWNER)
(573) 891-2098
Entity
Organization
Contact information
Practice address
606 HARRY DR, DEXTER, MO 63841-2813
(573) 891-2098
Mailing address
606 HARRY DR, DEXTER, MO 63841-2813
(573) 891-2098
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA001089
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333575702
—
MO
01
—
HA001089
STATE OF MO HEARING AID SPECIALIST
MO
Enumeration date
11/21/2016
Last updated
11/21/2016
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