Provider Demographics
NPI:1013221100
Name:BAKER HEARING CENTER L.L.C.
Entity Type:Organization
Organization Name:BAKER HEARING CENTER L.L.C.
Other - Org Name:MIRACLE- EAR CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COOWNER/CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:JR
Authorized Official - Credentials:HIS
Authorized Official - Phone:910-295-2958
Mailing Address - Street 1:PO BOX 3065
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28406-0065
Mailing Address - Country:US
Mailing Address - Phone:910-392-1982
Mailing Address - Fax:910-392-3926
Practice Address - Street 1:3500 OLEANDER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-0811
Practice Address - Country:US
Practice Address - Phone:910-295-2958
Practice Address - Fax:910-295-1316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-30
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty