Provider Demographics
NPI:1275611121
Name:RIVERFRONT HEARING INC
Entity Type:Organization
Organization Name:RIVERFRONT HEARING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-235-8750
Mailing Address - Street 1:3725 S SAGINAW ST
Mailing Address - Street 2:STE 107
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-4321
Mailing Address - Country:US
Mailing Address - Phone:810-235-8750
Mailing Address - Fax:810-235-8760
Practice Address - Street 1:3725 S SAGINAW ST
Practice Address - Street 2:STE 107
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-4321
Practice Address - Country:US
Practice Address - Phone:810-235-8750
Practice Address - Fax:810-235-8760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501003346237600000X
MI3501002820237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0996249OtherHEALTHPLUS OF MI
MI4511592Medicaid
MI91011622OtherMCLAREN HEALTH PLAN