Provider Demographics
NPI:1275795767
Name:TN HEARING SYSTEMS
Entity Type:Organization
Organization Name:TN HEARING SYSTEMS
Other - Org Name:MIRACLE EAR CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:931-261-0369
Mailing Address - Street 1:390 S LOWE AVE
Mailing Address - Street 2:SUITE J
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-4732
Mailing Address - Country:US
Mailing Address - Phone:931-372-0002
Mailing Address - Fax:931-372-0474
Practice Address - Street 1:390 S LOWE AVE
Practice Address - Street 2:SUITE J
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-4732
Practice Address - Country:US
Practice Address - Phone:931-372-0002
Practice Address - Fax:931-372-0474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000675237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
610443500OtherOWCP