Provider Demographics
NPI:1285894410
Name:AAA HEARING AID CTRS LLC
Entity type:Organization
Organization Name:AAA HEARING AID CTRS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:BERNHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING AID DISPENSE
Authorized Official - Phone:410-266-9442
Mailing Address - Street 1:106 ARBUTUS DRIVE
Mailing Address - Street 2:ATTN ACCOUNTING
Mailing Address - City:JOPPA
Mailing Address - State:MD
Mailing Address - Zip Code:21085
Mailing Address - Country:US
Mailing Address - Phone:410-266-9442
Mailing Address - Fax:410-266-3630
Practice Address - Street 1:1040 ANNAPOLIS MALL
Practice Address - Street 2:SEARS ANNAPOLIS MALL
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401
Practice Address - Country:US
Practice Address - Phone:410-266-9442
Practice Address - Fax:410-266-3630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02423237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty