Provider Demographics
NPI:1255527891
Name:CANARY HEARING LLC
Entity type:Organization
Organization Name:CANARY HEARING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:CANARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-224-4327
Mailing Address - Street 1:130 HOLIDAY CT
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7003
Mailing Address - Country:US
Mailing Address - Phone:410-224-4327
Mailing Address - Fax:
Practice Address - Street 1:130 HOLIDAY CT
Practice Address - Street 2:SUITE 105
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7003
Practice Address - Country:US
Practice Address - Phone:410-224-4327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty