1972776896 NPI number — ADVANCED HEARING INSTRUMENTS

Table of content: (NPI 1972776896)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972776896 NPI number — ADVANCED HEARING INSTRUMENTS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADVANCED HEARING INSTRUMENTS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972776896
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17425 FORT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RIVERVIEW
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48193-6630
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
734-285-1669
Provider Business Mailing Address Fax Number:
734-285-5368

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17425 FORT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RIVERVIEW
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48193-6630
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-285-1669
Provider Business Practice Location Address Fax Number:
734-285-5368
Provider Enumeration Date:
04/11/2008

Additional Information

Authorized Official

Authorized Official Last Name:
MALUZHINSKY
Authorized Official First Name:
HAZEL
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
HEARING INSTRUMENT SPECIALIST
Authorized Official Telephone Number:
734-285-1669

Provider Taxonomy Codes

  • Taxonomy code: 237700000X , with the licence number:  3501002233 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1932138799 . This is a "NPI" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 902749878 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 903268600 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 540H208270 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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