Provider Demographics
NPI:1467620658
Name:A&M HEARING INC
Entity Type:Organization
Organization Name:A&M HEARING INC
Other - Org Name:MIRACLE EAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:D
Authorized Official - Last Name:RICCARDI
Authorized Official - Suffix:
Authorized Official - Credentials:PA LICENSED 2127
Authorized Official - Phone:814-459-2350
Mailing Address - Street 1:1611 PEACH ST
Mailing Address - Street 2:SUITE 95
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-2109
Mailing Address - Country:US
Mailing Address - Phone:814-459-2350
Mailing Address - Fax:814-459-7510
Practice Address - Street 1:1611 PEACH STREET
Practice Address - Street 2:SUITE 95
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-2109
Practice Address - Country:US
Practice Address - Phone:814-459-2350
Practice Address - Fax:814-459-7510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAFO2127332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA204228Medicare PIN