Provider Demographics
NPI:1356853246
Name:ACE HEARING CENTER LLC
Entity Type:Organization
Organization Name:ACE HEARING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BERGMANS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:951-531-4132
Mailing Address - Street 1:3075 E GRAND RIVER AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-6585
Mailing Address - Country:US
Mailing Address - Phone:951-531-4132
Mailing Address - Fax:
Practice Address - Street 1:3075 E GRAND RIVER AVE STE 109
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-6585
Practice Address - Country:US
Practice Address - Phone:951-531-4132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-31
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000739231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty