Provider Demographics
NPI:1861820284
Name:MASS HEARING SPECIALISTS, INC.
Entity Type:Organization
Organization Name:MASS HEARING SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SKEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-769-9829
Mailing Address - Street 1:2 SHAKER RD
Mailing Address - Street 2:SUITE B100
Mailing Address - City:SHIRLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01464-2525
Mailing Address - Country:US
Mailing Address - Phone:978-425-9289
Mailing Address - Fax:
Practice Address - Street 1:2 SHAKER RD
Practice Address - Street 2:SUITE B100
Practice Address - City:SHIRLEY
Practice Address - State:MA
Practice Address - Zip Code:01464-2525
Practice Address - Country:US
Practice Address - Phone:978-425-9289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-22
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA280237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty