Healthcare Provider Details

I. General information

NPI: 1215441001
Provider Name (Legal Business Name): SKORIC HEARING AID CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2017
Last Update Date: 12/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5462 STATE ST
SAGINAW MI
48603-3678
US

IV. Provider business mailing address

5462 STATE ST
SAGINAW MI
48603-3678
US

V. Phone/Fax

Practice location:
  • Phone: 248-961-4329
  • Fax:
Mailing address:
  • Phone: 248-961-4329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: MR. BORO SKORIC
Title or Position: OWNER
Credential: AUDIOPROSTHOLOGIST.
Phone: 248-961-4329