Provider Demographics
NPI:1841246444
Name:MARSED ENTERPRISES, INC.
Entity Type:Organization
Organization Name:MARSED ENTERPRISES, INC.
Other - Org Name:ADVANCED HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:MARQUIS
Authorized Official - Suffix:
Authorized Official - Credentials:HA3617, BC-HIS, ACA
Authorized Official - Phone:805-541-2864
Mailing Address - Street 1:7600 EL CAMINO REAL
Mailing Address - Street 2:#1-128
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93422-4337
Mailing Address - Country:US
Mailing Address - Phone:805-541-2864
Mailing Address - Fax:805-541-2866
Practice Address - Street 1:1495 PALM ST
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-2937
Practice Address - Country:US
Practice Address - Phone:805-541-2864
Practice Address - Fax:805-541-2866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA3617237700000X, 332B00000X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332S00000XSuppliersHearing Aid EquipmentGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1588603021Medicaid
CAHA0036170Medicare UPIN