Provider Demographics
NPI:1437409612
Name:OSBORNE HEARING SYSTEMS
Entity Type:Organization
Organization Name:OSBORNE HEARING SYSTEMS
Other - Org Name:MIRACLE EAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NATIONAL BOARD CERTIFIED HEARING SP
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:OSBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:BCHIS
Authorized Official - Phone:931-388-8595
Mailing Address - Street 1:1617 HATCHER LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-4826
Mailing Address - Country:US
Mailing Address - Phone:931-388-8595
Mailing Address - Fax:931-381-8974
Practice Address - Street 1:1617 HATCHER LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4826
Practice Address - Country:US
Practice Address - Phone:931-388-8595
Practice Address - Fax:931-381-8974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN458332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment