Provider Demographics
NPI:1548434368
Name:3D HEARING, INC.
Entity type:Organization
Organization Name:3D HEARING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:KIRK
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:BC, HIS-ACA
Authorized Official - Phone:410-590-5572
Mailing Address - Street 1:8025 RITCHIE HWY
Mailing Address - Street 2:STE 102
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-1031
Mailing Address - Country:US
Mailing Address - Phone:410-590-5572
Mailing Address - Fax:
Practice Address - Street 1:8025 RITCHIE HWY
Practice Address - Street 2:STE 102
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-1031
Practice Address - Country:US
Practice Address - Phone:410-590-5572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2462332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment