Provider Demographics
NPI:1215314117
Name:SKORIC, JELENA (HEARING AID DEALER)
Entity type:Individual
Prefix:
First Name:JELENA
Middle Name:
Last Name:SKORIC
Suffix:
Gender:F
Credentials:HEARING AID DEALER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7956 STEEPLECHASE DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-7805
Mailing Address - Country:US
Mailing Address - Phone:248-766-7984
Mailing Address - Fax:800-886-1834
Practice Address - Street 1:5462 STATE ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-3678
Practice Address - Country:US
Practice Address - Phone:989-793-7620
Practice Address - Fax:989-793-2044
Is Sole Proprietor?:No
Enumeration Date:2015-04-29
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237700000X
MI3501004940237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist