Provider Demographics
NPI:1033479738
Name:CHESAPEAKE HEARING CENTERS, INC.
Entity Type:Organization
Organization Name:CHESAPEAKE HEARING CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-641-8700
Mailing Address - Street 1:11310 MANKLIN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:OCEAN PINES
Mailing Address - State:MD
Mailing Address - Zip Code:21811-4013
Mailing Address - Country:US
Mailing Address - Phone:410-641-8700
Mailing Address - Fax:410-641-8117
Practice Address - Street 1:11310 MANKLIN CREEK RD
Practice Address - Street 2:
Practice Address - City:OCEAN PINES
Practice Address - State:MD
Practice Address - Zip Code:21811-4013
Practice Address - Country:US
Practice Address - Phone:410-641-8700
Practice Address - Fax:410-641-8117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech