Provider Demographics
NPI:1538431887
Name:HEARING LIFESTYLES, LLC
Entity type:Organization
Organization Name:HEARING LIFESTYLES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ROSIEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-379-3333
Mailing Address - Street 1:549 E COUNTY LINE RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1067
Mailing Address - Country:US
Mailing Address - Phone:317-300-1240
Mailing Address - Fax:317-759-2558
Practice Address - Street 1:464 JAKE ALEXANDER BLVD W
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-1365
Practice Address - Country:US
Practice Address - Phone:704-633-0023
Practice Address - Fax:704-705-2363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2194231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty