Provider Demographics
NPI:1508246869
Name:SIKORSKI HEARING AID CENTER, INC.
Entity Type:Organization
Organization Name:SIKORSKI HEARING AID CENTER, INC.
Other - Org Name:SIKORSKI HEARING AND TINNITUS WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:SIKORSKI
Authorized Official - Suffix:
Authorized Official - Credentials:HIS ACA
Authorized Official - Phone:715-939-1296
Mailing Address - Street 1:802 NUNN AVE
Mailing Address - Street 2:
Mailing Address - City:RICE LAKE
Mailing Address - State:WI
Mailing Address - Zip Code:54868-1041
Mailing Address - Country:US
Mailing Address - Phone:715-939-1296
Mailing Address - Fax:715-939-1298
Practice Address - Street 1:802 NUNN AVE
Practice Address - Street 2:
Practice Address - City:RICE LAKE
Practice Address - State:WI
Practice Address - Zip Code:54868-1041
Practice Address - Country:US
Practice Address - Phone:715-939-1296
Practice Address - Fax:715-939-1298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237700000X
WI1226-060332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Multi-Specialty