Provider Demographics
NPI:1083861769
Name:SKORIC, BORO (ACA, AUDIOPROSTHOLOG)
Entity Type:Individual
Prefix:MR
First Name:BORO
Middle Name:
Last Name:SKORIC
Suffix:
Gender:M
Credentials:ACA, AUDIOPROSTHOLOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5462 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-3678
Mailing Address - Country:US
Mailing Address - Phone:989-793-7620
Mailing Address - Fax:989-793-2044
Practice Address - Street 1:5462 STATE ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-3678
Practice Address - Country:US
Practice Address - Phone:989-793-7620
Practice Address - Fax:989-793-2044
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501001976237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1174774087OtherBLUE CROSS