Provider Demographics
NPI:1700122827
Name:SENIORS CHOICE HEARING AID CENTERS, INC.
Entity Type:Organization
Organization Name:SENIORS CHOICE HEARING AID CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:D
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:HAS, BC-HIS
Authorized Official - Phone:727-733-2625
Mailing Address - Street 1:2194 MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-5696
Mailing Address - Country:US
Mailing Address - Phone:727-733-2625
Mailing Address - Fax:727-733-9566
Practice Address - Street 1:2194 MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5696
Practice Address - Country:US
Practice Address - Phone:727-733-2625
Practice Address - Fax:727-733-9566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4307332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment