Provider Demographics
NPI:1417022344
Name:EARCARE OF SALINA, INC.
Entity Type:Organization
Organization Name:EARCARE OF SALINA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BRECHEISEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-823-5110
Mailing Address - Street 1:1646 S OHIO ST
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-6360
Mailing Address - Country:US
Mailing Address - Phone:785-823-5110
Mailing Address - Fax:785-823-6474
Practice Address - Street 1:1646 S OHIO ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-6360
Practice Address - Country:US
Practice Address - Phone:785-823-5110
Practice Address - Fax:785-823-6474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSCE569332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment