Provider Demographics
NPI:1821423716
Name:THN HEAR, INC
Entity Type:Organization
Organization Name:THN HEAR, INC
Other - Org Name:MIRACLE EAR HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:928-855-3777
Mailing Address - Street 1:1731 MESQUITE AVE
Mailing Address - Street 2:SUITE # 1
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86403-5653
Mailing Address - Country:US
Mailing Address - Phone:928-855-3777
Mailing Address - Fax:928-855-4118
Practice Address - Street 1:1731 MESQUITE AVE
Practice Address - Street 2:SUITE # 1
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-5653
Practice Address - Country:US
Practice Address - Phone:928-855-3777
Practice Address - Fax:928-855-4118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ08-022845-J332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment