Healthcare Provider Details

I. General information

NPI: 1174774087
Provider Name (Legal Business Name): SKORIC HEARING AID CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2008
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
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: 989-793-7620
  • Fax: 989-793-2044
Mailing address:
  • Phone: 989-793-7620
  • Fax: 989-793-2204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. BORO SKORIC
Title or Position: OWNER
Credential: HEARING AID DEALER
Phone: 989-793-7620