Healthcare Provider Details

I. General information

NPI: 1548510423
Provider Name (Legal Business Name): EASY LISTENING HEARING CENTERS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2012
Last Update Date: 09/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18947 JOHN J WILLIAMS HWY STE. 305
REHOBOTH BEACH DE
19971-4474
US

IV. Provider business mailing address

1005 N POINT BLVD STE. 705
BALTIMORE MD
21224-3415
US

V. Phone/Fax

Practice location:
  • Phone: 410-288-7100
  • Fax: 410-288-7102
Mailing address:
  • Phone: 410-288-7100
  • Fax: 410-288-7102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MARKO KOROPECKYJ
Title or Position: OWNER
Credential: HAD
Phone: 410-288-7100