Provider Demographics
NPI:1003007162
Name:DDYMON INC.
Entity Type:Organization
Organization Name:DDYMON INC.
Other - Org Name:DYMON HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEARING AID DEALER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DYMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-652-1208
Mailing Address - Street 1:71 WALNUT BLVD STE 108
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-2073
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:71 WALNUT BLVD STE 108
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-2073
Practice Address - Country:US
Practice Address - Phone:248-652-1208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501002017332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment