Healthcare Provider Details

I. General information

NPI: 1215314117
Provider Name (Legal Business Name): JELENA SKORIC HEARING AID DEALER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2015
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5462 STATE ST
SAGINAW MI
48603-3678
US

IV. Provider business mailing address

7956 STEEPLECHASE DR
PALM BEACH GARDENS FL
33418-7805
US

V. Phone/Fax

Practice location:
  • Phone: 989-793-7620
  • Fax: 989-793-2044
Mailing address:
  • Phone: 248-766-7984
  • Fax: 800-886-1834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number15591
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number3501004940
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: