Provider Demographics
NPI:1285039792
Name:ALL EARS HEARING SERVICES INC
Entity Type:Organization
Organization Name:ALL EARS HEARING SERVICES INC
Other - Org Name:ALL EARS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:SELIS
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING AID SPECIALI
Authorized Official - Phone:941-320-2122
Mailing Address - Street 1:5042 OXFORD DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34242-1408
Mailing Address - Country:US
Mailing Address - Phone:941-320-2122
Mailing Address - Fax:
Practice Address - Street 1:2620 S TAMIAMI TRL
Practice Address - Street 2:101
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-4517
Practice Address - Country:US
Practice Address - Phone:941-320-2122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS962332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment