Provider Demographics
NPI:1720305873
Name:MICHELS HEARING AID CENTERS
Entity Type:Organization
Organization Name:MICHELS HEARING AID CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/HIS
Authorized Official - Prefix:MR
Authorized Official - First Name:NICK
Authorized Official - Middle Name:G
Authorized Official - Last Name:MICHELS
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:570-622-9151
Mailing Address - Street 1:459 N CLAUDE A LORD BLVD
Mailing Address - Street 2:
Mailing Address - City:POTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17901-2705
Mailing Address - Country:US
Mailing Address - Phone:570-622-9151
Mailing Address - Fax:570-622-3335
Practice Address - Street 1:459 N CLAUDE A LORD BLVD
Practice Address - Street 2:
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901-2705
Practice Address - Country:US
Practice Address - Phone:570-622-9151
Practice Address - Fax:570-622-3335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment