Provider Demographics
NPI:1225254063
Name:AUDIOLOGY AND HEARING SERVICES LLC
Entity Type:Organization
Organization Name:AUDIOLOGY AND HEARING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:E
Authorized Official - Last Name:DEBLER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:517-323-6222
Mailing Address - Street 1:6512 CENTURION DR
Mailing Address - Street 2:SUITE 340
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-8248
Mailing Address - Country:US
Mailing Address - Phone:517-323-6222
Mailing Address - Fax:517-323-6279
Practice Address - Street 1:6512 CENTURION DR
Practice Address - Street 2:SUITE 340
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-8248
Practice Address - Country:US
Practice Address - Phone:517-323-6222
Practice Address - Fax:517-323-6279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000100231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P28130Medicare ID - Type Unspecified