Provider Demographics
NPI:1790921781
Name:BLEICH, INC.
Entity Type:Organization
Organization Name:BLEICH, INC.
Other - Org Name:MIRACLE EAR CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BLEICH
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:716-832-7203
Mailing Address - Street 1:8404 NIAGARA FALLS BLVD.
Mailing Address - Street 2:MIL-PINE PLAZA
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304
Mailing Address - Country:US
Mailing Address - Phone:716-298-8976
Mailing Address - Fax:716-298-1597
Practice Address - Street 1:8404 NIAGARA FALLS BLVD.
Practice Address - Street 2:MIL-PINE PLAZA
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304
Practice Address - Country:US
Practice Address - Phone:716-298-8976
Practice Address - Fax:716-298-1597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-23
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15000016424332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment