Organization
GW & PE INCORP.
Active
Organization
GW & PE INCORP.
Active
Other names
Payne's Hearing Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
GARY PAYNE HEARING AID DISPENSE (HEARING AID DISPENSER)
14027219213
Entity
Organization
Contact information
Practice address
849 E 23RD ST, FREMONT, NE 68025-2444
(140) 272-1921
Mailing address
849 E 23RD ST, FREMONT, NE 68025-2444
(140) 272-1921
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
580
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100257142-00
—
NE
Enumeration date
04/19/2011
Last updated
04/19/2011
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