Provider Demographics
NPI:1376141283
Name:CLEARSOUND SOLUTIONS LLC
Entity Type:Organization
Organization Name:CLEARSOUND SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JERALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS/DEALER
Authorized Official - Phone:517-853-6929
Mailing Address - Street 1:7200 W SAGINAW HWY STE 3
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-1133
Mailing Address - Country:US
Mailing Address - Phone:517-853-6929
Mailing Address - Fax:
Practice Address - Street 1:7200 W SAGINAW HWY STE 3
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-1133
Practice Address - Country:US
Practice Address - Phone:517-853-6929
Practice Address - Fax:517-913-1347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3501008286OtherLICENSE NUMBER