Provider Demographics
NPI:1124202890
Name:BROWN HEARING HEALTH SERVICES
Entity Type:Organization
Organization Name:BROWN HEARING HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:RUSSELL
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:517-659-8700
Mailing Address - Street 1:907 E CHICAGO RD
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:MI
Mailing Address - Zip Code:49091-1921
Mailing Address - Country:US
Mailing Address - Phone:517-659-8700
Mailing Address - Fax:517-279-6119
Practice Address - Street 1:907 E CHICAGO RD
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:MI
Practice Address - Zip Code:49091-1921
Practice Address - Country:US
Practice Address - Phone:517-659-8700
Practice Address - Fax:517-279-6119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501002908332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment