Provider Demographics
NPI:1801408117
Name:E A IKELER INCORPORATED
Entity Type:Organization
Organization Name:E A IKELER INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ETHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:IKELER
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:570-473-1200
Mailing Address - Street 1:596 2ND ST
Mailing Address - Street 2:
Mailing Address - City:NORTHUMBERLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17857-1262
Mailing Address - Country:US
Mailing Address - Phone:570-473-1200
Mailing Address - Fax:570-473-1200
Practice Address - Street 1:596 2ND ST
Practice Address - Street 2:
Practice Address - City:NORTHUMBERLAND
Practice Address - State:PA
Practice Address - Zip Code:17857-1262
Practice Address - Country:US
Practice Address - Phone:570-473-1200
Practice Address - Fax:570-473-3300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment