Provider Demographics
NPI:1548942410
Name:TREE CITY HEARING LLC
Entity type:Organization
Organization Name:TREE CITY HEARING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPPEL
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:765-412-2038
Mailing Address - Street 1:905 W KEEGANS WAY STE 11
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47240-3403
Mailing Address - Country:US
Mailing Address - Phone:812-663-5163
Mailing Address - Fax:812-663-2732
Practice Address - Street 1:905 W KEEGANS WAY STE 11
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:IN
Practice Address - Zip Code:47240-3403
Practice Address - Country:US
Practice Address - Phone:812-663-5163
Practice Address - Fax:812-663-2732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1528326493Medicaid