Organization
ENTERPRISES 101, INC.
Active
Other names
Miracle-Ear Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOLOMON MORRIS ROUSSO BC-HIS, ACA (CEO, AUDIOPROSTHOLOGIST)
(334) 213-0300
Entity
Organization
Contact information
Practice address
2800 ZELDA RD, SUITE 200-4, MONTGOMERY, AL 36106-3700
(334) 213-0300
(334) 213-0303
Mailing address
2800 ZELDA RD, SUITE 200-4, MONTGOMERY, AL 36106-3700
(334) 213-0300
(334) 213-0303
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
4037
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4037
BOARD OF HEARING AID DEAL
AL
01
—
51507956
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/12/2007
Last updated
04/10/2008
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