Provider Demographics
NPI:1780204032
Name:BLUE CRAB HEARING CARE LLC
Entity Type:Organization
Organization Name:BLUE CRAB HEARING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNIECE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:443-499-3277
Mailing Address - Street 1:25455 ADAMS LANDING RD
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21629-3336
Mailing Address - Country:US
Mailing Address - Phone:443-499-3277
Mailing Address - Fax:866-282-2830
Practice Address - Street 1:25455 ADAMS LANDING RD
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:MD
Practice Address - Zip Code:21629-3336
Practice Address - Country:US
Practice Address - Phone:443-499-3277
Practice Address - Fax:866-282-2830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332S00000XSuppliersHearing Aid Equipment