Provider Demographics
NPI:1912161191
Name:KITTNER MARKETING CO
Entity Type:Organization
Organization Name:KITTNER MARKETING CO
Other - Org Name:MIRACLE EAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:N
Authorized Official - Last Name:KITTNER
Authorized Official - Suffix:
Authorized Official - Credentials:NJ HAD LIC# 1073
Authorized Official - Phone:856-691-9020
Mailing Address - Street 1:78 W PARK AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-3533
Mailing Address - Country:US
Mailing Address - Phone:856-691-9020
Mailing Address - Fax:856-691-9028
Practice Address - Street 1:3003 ENGLISH CREEK AVE
Practice Address - Street 2:SUITE E-04
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234
Practice Address - Country:US
Practice Address - Phone:609-646-2210
Practice Address - Fax:609-646-3007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ237700000X
NJ25MG00107300237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty