Healthcare Provider Details
I. General information
NPI: 1215683016
Provider Name (Legal Business Name): MAIERLE HEARING SOLUTIONS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/01/2022
Last Update Date: 03/01/2022
Certification Date: 03/01/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
919 BAYVIEW DR APT B
MANHATTAN BEACH CA
90266-5536
US
IV. Provider business mailing address
919 BAYVIEW DR APT B
MANHATTAN BEACH CA
90266-5536
US
V. Phone/Fax
- Phone: 414-416-0400
- Fax:
- Phone: 414-416-0400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ERIN
ELIZABETH
MAIERLE
Title or Position: DOCTOR OF AUDIOLOGY/OWNER
Credential: AU.D.
Phone: 414-416-4000