Healthcare Provider Details

I. General information

NPI: 1447966056
Provider Name (Legal Business Name): ATREUS HEARING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2023
Last Update Date: 01/26/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 STORK WAY
SENECA SC
29678-1039
US

IV. Provider business mailing address

215 STORK WAY
SENECA SC
29678-1039
US

V. Phone/Fax

Practice location:
  • Phone: 248-310-3473
  • Fax:
Mailing address:
  • Phone: 248-310-3473
  • 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: DANIEL BOXWELL
Title or Position: PRESIDENT
Credential: DO
Phone: 248-310-3473