1326378886 NPI number — ROBINSON HEARING CENTER INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326378886 NPI number — ROBINSON HEARING CENTER INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBINSON HEARING CENTER INC.
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:
6
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:
1326378886
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/06/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22391 ECORSE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TAYLOR
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48180-1860
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
313-551-5526
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22391 ECORSE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAYLOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48180-1860
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-551-5526
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/06/2010

Additional Information

Authorized Official

Authorized Official Last Name:
SULIK
Authorized Official First Name:
TAMARA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
313-551-5526

Provider Taxonomy Codes

  • Taxonomy code: 237700000X , with the licence number:  3501001020 , 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: 1982722773 . This is a "PERSONAL NPI GLENDA ROBINSON" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 540E02694 . This is a "BCBSMI PROVIDER NUMBER" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 3501001020 . This is a "SOM HEARING AID DEALER PERMANENT ID" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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