Healthcare Provider Details

I. General information

NPI: 1841246444
Provider Name (Legal Business Name): MARSED ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 06/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1495 PALM ST
SAN LUIS OBISPO CA
93401-2937
US

IV. Provider business mailing address

7600 EL CAMINO REAL #1-128
ATASCADERO CA
93422-4337
US

V. Phone/Fax

Practice location:
  • Phone: 805-541-2864
  • Fax: 805-541-2866
Mailing address:
  • Phone: 805-541-2864
  • Fax: 805-541-2866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA3617
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberHA3617
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberHA3617
License Number StateCA

VIII. Authorized Official

Name: MR. AARON MARQUIS
Title or Position: CEO/PRESIDENT
Credential: HA3617, BC-HIS, ACA
Phone: 805-541-2864