Provider Demographics
NPI:1902256282
Name:HEARING ADVANTAGE LLC
Entity Type:Organization
Organization Name:HEARING ADVANTAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:KASTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-362-3711
Mailing Address - Street 1:181 S ANDERSON ST
Mailing Address - Street 2:
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501-3448
Mailing Address - Country:US
Mailing Address - Phone:888-897-3711
Mailing Address - Fax:715-420-1686
Practice Address - Street 1:2234 NEVA RD
Practice Address - Street 2:
Practice Address - City:ANTIGO
Practice Address - State:WI
Practice Address - Zip Code:54409-2910
Practice Address - Country:US
Practice Address - Phone:888-897-3711
Practice Address - Fax:715-420-1686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-16
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1229060332S00000X
WI1390060332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment