Provider Demographics
NPI:1861769085
Name:HEARING HUT LLC
Entity type:Organization
Organization Name:HEARING HUT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MULRANEN
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:856-468-1966
Mailing Address - Street 1:660 WOODBURY GLASSBORO RD
Mailing Address - Street 2:SUITE 21
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-3735
Mailing Address - Country:US
Mailing Address - Phone:856-469-1966
Mailing Address - Fax:
Practice Address - Street 1:660 WOODBURY GLASSBORO RD
Practice Address - Street 2:SUITE 21
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-3735
Practice Address - Country:US
Practice Address - Phone:856-469-1966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMG000857000332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment