Provider Demographics
NPI:1669748372
Name:TICKLE INC
Entity type:Organization
Organization Name:TICKLE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:CORNWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-305-4905
Mailing Address - Street 1:3819 MURRELL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-4752
Mailing Address - Country:US
Mailing Address - Phone:321-305-4905
Mailing Address - Fax:321-305-4908
Practice Address - Street 1:3819 MURRELL RD
Practice Address - Street 2:SUITE B
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-4752
Practice Address - Country:US
Practice Address - Phone:321-305-4905
Practice Address - Fax:321-305-4908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment