Provider Demographics
NPI:1164698049
Name:FLUKE HEARING INSTRUMENTS LLC
Entity Type:Organization
Organization Name:FLUKE HEARING INSTRUMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-336-1940
Mailing Address - Street 1:4970 NORTHWIND DR
Mailing Address - Street 2:SUITE 226
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-5080
Mailing Address - Country:US
Mailing Address - Phone:517-336-1942
Mailing Address - Fax:517-336-1944
Practice Address - Street 1:724 N CLIPPERT ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-4733
Practice Address - Country:US
Practice Address - Phone:517-333-0830
Practice Address - Fax:517-333-1519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501002222332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment