| NPI | 1275772659 |
|---|---|
| Doing Business As | MIRACLE-EAR CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN BOLENBAUGH President 406-543-5690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MT 312) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MT 321) |
| 237700000X Hearing Instrument Specialist (Licence: MT 345) | |
| 237700000X Hearing Instrument Specialist (Licence: MT 202) | |
| 237700000X Hearing Instrument Specialist (Licence: MT 210) | |
| 237700000X Hearing Instrument Specialist (Licence: MT 347) | |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |