Provider Demographics
NPI:1083641138
Name:HUTSON, THOMAS HAYWARD
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:HAYWARD
Last Name:HUTSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MAICO HEARING AIDS, INC.
Mailing Address - Street 2:5 GLYNDON DRIVE, #419
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-0419
Mailing Address - Country:US
Mailing Address - Phone:410-752-4545
Mailing Address - Fax:443-267-0186
Practice Address - Street 1:MAICO HEARING AIDS, INC.
Practice Address - Street 2:5 GLYNDON DRIVE, #419
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-0419
Practice Address - Country:US
Practice Address - Phone:410-752-4545
Practice Address - Fax:443-267-0186
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD151614237700000X
MD01218237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD9555889P000Medicaid