Provider Demographics
NPI:1235282070
Name:MEDICAL ARTS HEARING INSTRUMENTS INC
Entity Type:Organization
Organization Name:MEDICAL ARTS HEARING INSTRUMENTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:A
Authorized Official - Last Name:WASIUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-534-4994
Mailing Address - Street 1:52 WEST ST
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-5654
Mailing Address - Country:US
Mailing Address - Phone:978-534-4994
Mailing Address - Fax:978-466-6603
Practice Address - Street 1:52 WEST ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-5654
Practice Address - Country:US
Practice Address - Phone:978-534-4994
Practice Address - Fax:978-466-6603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAHE 62-1332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1519727Medicaid