1891845335 NPI number — EARPHONICS INC

Table of content: (NPI 1891845335)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891845335 NPI number — EARPHONICS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EARPHONICS 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:
1891845335
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22777 KELLY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EASTPOINTE
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48021-2036
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
586-773-3300
Provider Business Mailing Address Fax Number:
586-773-2232

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22777 KELLY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EASTPOINTE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48021-2036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-773-3300
Provider Business Practice Location Address Fax Number:
586-773-2232
Provider Enumeration Date:
01/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BARDEN
Authorized Official First Name:
GEORGEAN
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
568-773-3300

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 237700000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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

  • Identifier: 1003589 . This is a "HEALTH PLUS HMO" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 1003590 . This is a "HEALTH PLUS HMO" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 1003592 . This is a "HEALTH PLUS HMO" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1003591 . This is a "HEALTH PLUS HMO" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 1003593 . This is a "HEALTH PLUS HMO" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 49462 . This is a "OMINCARE HMO" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 002239 . This is a "CAPE HEALTH HMO" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 119873 . This is a "GREAT LAKES HMO" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 505840 . This is a "CARE CHOICE HMO" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 5410188 . This is a "HEALTH PLUS HMO" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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