Provider Demographics
NPI:1083027478
Name:MC HEARING, LLC
Entity type:Organization
Organization Name:MC HEARING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-434-9148
Mailing Address - Street 1:5129 ILLINOIS RD
Mailing Address - Street 2:STE 116
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-5112
Mailing Address - Country:US
Mailing Address - Phone:260-434-9148
Mailing Address - Fax:405-603-2207
Practice Address - Street 1:5129 ILLINOIS RD
Practice Address - Street 2:STE 116
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-5112
Practice Address - Country:US
Practice Address - Phone:260-434-9148
Practice Address - Fax:405-603-2207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment