Healthcare Provider Details

I. General information

NPI: 1003963356
Provider Name (Legal Business Name): EAR-TECH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 07/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2365 MARION MOUNT GILEAD RD
MARION OH
43302-8912
US

IV. Provider business mailing address

2365 MARION MOUNT GILEAD RD
MARION OH
43302-8912
US

V. Phone/Fax

Practice location:
  • Phone: 740-383-5703
  • Fax:
Mailing address:
  • Phone: 740-383-5703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number705
License Number StateOH

VIII. Authorized Official

Name: MR. FRANKLIN DELANO MARTIN
Title or Position: PRESIDENT
Credential: M.S.
Phone: 740-383-3507