Provider Demographics
NPI:1114115359
Name:HEARING REHABILITATION CENTER INC.
Entity Type:Organization
Organization Name:HEARING REHABILITATION CENTER INC.
Other - Org Name:HEARING REHABILITATION CENTER INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEE
Authorized Official - Middle Name:K
Authorized Official - Last Name:SEHGAL
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL AUDIOLOGIST
Authorized Official - Phone:810-629-7319
Mailing Address - Street 1:2900 UNION LAKE RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-3500
Mailing Address - Country:US
Mailing Address - Phone:248-360-4327
Mailing Address - Fax:248-360-5377
Practice Address - Street 1:2900 UNION LAKE RD
Practice Address - Street 2:SUITE 130
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48382-3500
Practice Address - Country:US
Practice Address - Phone:248-360-4327
Practice Address - Fax:248-360-5377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIDS000248332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI540F323180OtherBLUE CARE NETWORK
MI904625207Medicaid
MI540F323180OtherBC/BS
MI540F323180OtherBLUE CARE NETWORK