Provider Demographics
NPI:1043478258
Name:MARSH HEARING CENTER, LLC
Entity Type:Organization
Organization Name:MARSH HEARING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:304-872-3485
Mailing Address - Street 1:800 NORTHSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26651-2017
Mailing Address - Country:US
Mailing Address - Phone:304-872-3485
Mailing Address - Fax:
Practice Address - Street 1:800 NORTHSIDE DR
Practice Address - Street 2:
Practice Address - City:SUMMERSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26651-2017
Practice Address - Country:US
Practice Address - Phone:304-872-3485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-26
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVA-0093237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty