Provider Demographics
NPI:1912272741
Name:DIGITAL ECHO ENTERPRISES
Entity Type:Organization
Organization Name:DIGITAL ECHO ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RCS, RCIS
Authorized Official - Phone:804-986-6744
Mailing Address - Street 1:70252 HILLSIDE CT
Mailing Address - Street 2:
Mailing Address - City:BRUCE TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48065-5345
Mailing Address - Country:US
Mailing Address - Phone:804-986-6744
Mailing Address - Fax:757-299-8403
Practice Address - Street 1:70252 HILLSIDE CT
Practice Address - Street 2:
Practice Address - City:BRUCE TWP
Practice Address - State:MI
Practice Address - Zip Code:48065-5345
Practice Address - Country:US
Practice Address - Phone:804-986-6744
Practice Address - Fax:757-299-8403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI00039737246X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularGroup - Single Specialty