Provider Demographics
NPI:1326378886
Name:ROBINSON HEARING CENTER INC.
Entity Type:Organization
Organization Name:ROBINSON HEARING CENTER INC.
Other - Org Name:QUALITY HEARING CENTER INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SULIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-551-5526
Mailing Address - Street 1:22391 ECORSE RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-1860
Mailing Address - Country:US
Mailing Address - Phone:313-551-5526
Mailing Address - Fax:
Practice Address - Street 1:22391 ECORSE RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-1860
Practice Address - Country:US
Practice Address - Phone:313-551-5526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501001020237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1982722773OtherPERSONAL NPI GLENDA ROBINSON
MI540E02694OtherBCBSMI PROVIDER NUMBER
MI3501001020OtherSOM HEARING AID DEALER PERMANENT ID