Provider Demographics
NPI:1508580473
Name:BEALL HEARING SOLUTIONS, LLC.
Entity Type:Organization
Organization Name:BEALL HEARING SOLUTIONS, LLC.
Other - Org Name:MIRACLE-EAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:YEARICK
Authorized Official - Last Name:BEALL
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:910-619-5451
Mailing Address - Street 1:1313 FLORAL PKWY
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-6707
Mailing Address - Country:US
Mailing Address - Phone:910-392-1982
Mailing Address - Fax:910-392-3926
Practice Address - Street 1:1313 FLORAL PKWY
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6707
Practice Address - Country:US
Practice Address - Phone:910-392-1982
Practice Address - Fax:910-392-3926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty