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
State | License ID | Taxonomies |
---|---|---|
FL | AS4307 | 332S00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 332S00000X | Suppliers | Hearing Aid Equipment |