Provider Demographics
NPI:1568729143
Name:COLEMAN B HARRIS
Entity Type:Organization
Organization Name:COLEMAN B HARRIS
Other - Org Name:BETTER HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:COLEMAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:NBCHIS
Authorized Official - Phone:256-338-4165
Mailing Address - Street 1:215 3RD ST SW
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-4120
Mailing Address - Country:US
Mailing Address - Phone:256-739-3427
Mailing Address - Fax:256-736-9886
Practice Address - Street 1:215 3RD ST SW
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-4120
Practice Address - Country:US
Practice Address - Phone:256-739-3427
Practice Address - Fax:256-736-9886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22028332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1922268853OtherSOLE PROPRIETOR