Organization
HEARING ADVANTAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE C KASTER (BUSINESS OWNER)
(715) 362-3711
Entity
Organization
Contact information
Practice address
323 E WALL ST, EAGLE RIVER, WI 54521-9811
(715) 298-4437
(715) 298-4439
Mailing address
5404 ALDERSON ST, SUITE 200, SCHOFIELD, WI 54476-2293
(715) 298-4437
(715) 298-4439
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
573156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42837100
—
WI
Enumeration date
02/06/2013
Last updated
02/13/2013
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