Provider Demographics
NPI:1629248513
Name:J. B. SHERRY, INC. HEARING AIDS
Entity Type:Organization
Organization Name:J. B. SHERRY, INC. HEARING AIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:SHERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-744-1888
Mailing Address - Street 1:2330 S MACARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-4504
Mailing Address - Country:US
Mailing Address - Phone:217-744-1888
Mailing Address - Fax:217-364-9504
Practice Address - Street 1:2330 S MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-4504
Practice Address - Country:US
Practice Address - Phone:217-744-1888
Practice Address - Fax:217-364-9504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment