Provider Demographics
NPI:1417089392
Name:HERITAGE HEARING CENTER P.C.
Entity Type:Organization
Organization Name:HERITAGE HEARING CENTER P.C.
Other - Org Name:HERITAGE HEARING CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:E
Authorized Official - Last Name:YANOK
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:248-844-0020
Mailing Address - Street 1:555 BARCLAY CIR STE 115
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4555
Mailing Address - Country:US
Mailing Address - Phone:248-844-0200
Mailing Address - Fax:248-844-0037
Practice Address - Street 1:555 BARCLAY CIR STE 115
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4555
Practice Address - Country:US
Practice Address - Phone:248-844-0200
Practice Address - Fax:248-844-0037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000354237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty