Provider Demographics
NPI:1477540755
Name:ALL EARS HEARING CENTER INC
Entity Type:Organization
Organization Name:ALL EARS HEARING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:CODY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:508-747-4055
Mailing Address - Street 1:59 INDUSTRIAL PARK RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4870
Mailing Address - Country:US
Mailing Address - Phone:508-747-4055
Mailing Address - Fax:508-747-7655
Practice Address - Street 1:59 INDUSTRIAL PARK RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4870
Practice Address - Country:US
Practice Address - Phone:508-747-4055
Practice Address - Fax:508-747-7655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA140231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAD0001OtherBCBS
MA614363OtherHARVARD PILGRIM
002564Medicare ID - Type Unspecified