Provider Demographics
NPI:1174774087
Name:SKORIC HEARING AID CENTER LLC
Entity type:Organization
Organization Name:SKORIC HEARING AID CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BORO
Authorized Official - Middle Name:
Authorized Official - Last Name:SKORIC
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING AID DEALER
Authorized Official - Phone:989-793-7620
Mailing Address - Street 1:5462 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-3678
Mailing Address - Country:US
Mailing Address - Phone:989-793-7620
Mailing Address - Fax:989-793-2204
Practice Address - Street 1:5462 STATE ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-3678
Practice Address - Country:US
Practice Address - Phone:989-793-7620
Practice Address - Fax:989-793-2044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI=========OtherTIN