Provider Demographics
NPI:1295041226
Name:DIGITAL HEARING AID OUTLET INC.
Entity Type:Organization
Organization Name:DIGITAL HEARING AID OUTLET INC.
Other - Org Name:DIGITAL HEARING AID OUTLET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:863-382-9210
Mailing Address - Street 1:4206 SEBRING PKWY
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-6610
Mailing Address - Country:US
Mailing Address - Phone:863-382-9210
Mailing Address - Fax:863-382-9409
Practice Address - Street 1:4206 SEBRING PKWY
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-6610
Practice Address - Country:US
Practice Address - Phone:863-382-9210
Practice Address - Fax:863-382-9409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS3391237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty