Provider Demographics
NPI:1215441001
Name:SKORIC HEARING AID CENTER LLC
Entity type:Organization
Organization Name:SKORIC HEARING AID CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BORO
Authorized Official - Middle Name:
Authorized Official - Last Name:SKORIC
Authorized Official - Suffix:
Authorized Official - Credentials:AUDIOPROSTHOLOGIST
Authorized Official - Phone:248-961-4329
Mailing Address - Street 1:5462 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-3678
Mailing Address - Country:US
Mailing Address - Phone:248-961-4329
Mailing Address - Fax:
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:248-961-4329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-01
Last Update Date:2017-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty