Provider Demographics
NPI:1730640541
Name:COUGHLIN HEARING CENTERS LLC
Entity type:Organization
Organization Name:COUGHLIN HEARING CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED HEARING AID DISPENSER
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:COUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LHAD
Authorized Official - Phone:605-725-3277
Mailing Address - Street 1:524 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-2802
Mailing Address - Country:US
Mailing Address - Phone:605-725-3277
Mailing Address - Fax:
Practice Address - Street 1:524 N 1ST ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-2802
Practice Address - Country:US
Practice Address - Phone:605-725-3277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment