Provider Demographics
NPI:1417133885
Name:UNITED HEARING AID
Entity Type:Organization
Organization Name:UNITED HEARING AID
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-699-3713
Mailing Address - Street 1:6920 S CEDAR ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-6924
Mailing Address - Country:US
Mailing Address - Phone:517-699-3713
Mailing Address - Fax:
Practice Address - Street 1:6920 S CEDAR ST
Practice Address - Street 2:SUITE 2
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-6924
Practice Address - Country:US
Practice Address - Phone:517-699-3713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501001306332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI540C31279OtherBLUE CROSS BLUE SHIELD