Provider Demographics
NPI:1144866138
Name:INTEGRITY HEARING CENTER LLC
Entity type:Organization
Organization Name:INTEGRITY HEARING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:KELLY
Authorized Official - Last Name:GESSERT
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:636-528-4433
Mailing Address - Street 1:31 WINDING STAIR WAY
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-6125
Mailing Address - Country:US
Mailing Address - Phone:636-728-8840
Mailing Address - Fax:
Practice Address - Street 1:11 SYDNORVILLE RD STE 2
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MO
Practice Address - Zip Code:63379-3224
Practice Address - Country:US
Practice Address - Phone:636-528-4433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO231H00000XOtherAUDIOLOGY