Provider Demographics
NPI:1679870281
Name:PHYSICIANS HEARING CENTERS LLC
Entity Type:Organization
Organization Name:PHYSICIANS HEARING CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BERT
Authorized Official - Middle Name:MATT
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-461-0150
Mailing Address - Street 1:5400 TRANSPORTATION BOULEVARD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:GARFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44125
Mailing Address - Country:US
Mailing Address - Phone:440-461-0150
Mailing Address - Fax:440-461-8221
Practice Address - Street 1:5400 TRANSPORTATION BOULEVARD
Practice Address - Street 2:SUITE 8
Practice Address - City:GARFIELD
Practice Address - State:OH
Practice Address - Zip Code:44125
Practice Address - Country:US
Practice Address - Phone:440-461-0150
Practice Address - Fax:440-461-8221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-16
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.056634207Y00000X
OH35.044832207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty