Provider Demographics
NPI:1720463334
Name:VEIGHT GATTO ENTERPRISES LLC
Entity Type:Organization
Organization Name:VEIGHT GATTO ENTERPRISES LLC
Other - Org Name:MIRACLE EAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:VEIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED HEARING AID
Authorized Official - Phone:856-312-3303
Mailing Address - Street 1:1 MARTIN AVE
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002
Mailing Address - Country:US
Mailing Address - Phone:856-312-3303
Mailing Address - Fax:856-665-6813
Practice Address - Street 1:87 BALSAM RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-4802
Practice Address - Country:US
Practice Address - Phone:856-665-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-24
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment