Provider Demographics
NPI:1831790633
Name:MOORE HEARING, LLC
Entity type:Organization
Organization Name:MOORE HEARING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:REED
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:618-791-4065
Mailing Address - Street 1:802 W MADISON ST
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:IL
Mailing Address - Zip Code:62269-1030
Mailing Address - Country:US
Mailing Address - Phone:618-791-4065
Mailing Address - Fax:
Practice Address - Street 1:802 W MADISON ST
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:IL
Practice Address - Zip Code:62269-1030
Practice Address - Country:US
Practice Address - Phone:618-791-4065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty