Provider Demographics
NPI:1053446740
Name:HEARING INNOVATIONS CENTRE
Entity Type:Organization
Organization Name:HEARING INNOVATIONS CENTRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:BURKITT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-A
Authorized Official - Phone:810-225-4373
Mailing Address - Street 1:1784 HARVEY DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48895-9670
Mailing Address - Country:US
Mailing Address - Phone:810-225-4373
Mailing Address - Fax:
Practice Address - Street 1:8609 W GRAND RIVER AVE
Practice Address - Street 2:205
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-4398
Practice Address - Country:US
Practice Address - Phone:810-225-4373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000339231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIHA470001OtherMCARE
MI4189234Medicaid