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Organization

CUSTOM HEARING SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY LEE ORESKOVICH JR. HIS (OWNER/OPERATOR)
(402) 515-9228
Entity
Organization

Contact information

Practice address
8712 WYOMING ST, OMAHA, NE 68122-5245
(402) 515-9228
(866) 826-9730
Mailing address
8712 WYOMING ST, OMAHA, NE 68122-5245
(402) 515-9228
(866) 826-9730

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
900773
NE
237700000X
Hearing Instrument Specialist
900773
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026089200
NE
Enumeration date
10/07/2011
Last updated
10/07/2011
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