Provider Demographics
NPI:1417170531
Name:BATTLE CREEK HEARING SERVICES, INC.
Entity Type:Organization
Organization Name:BATTLE CREEK HEARING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:TRANTUM
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:269-979-6455
Mailing Address - Street 1:3566 CAPITAL AVE SW
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-9354
Mailing Address - Country:US
Mailing Address - Phone:269-979-6455
Mailing Address - Fax:269-979-6458
Practice Address - Street 1:3566 CAPITAL AVE SW
Practice Address - Street 2:SUITE 100
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-9354
Practice Address - Country:US
Practice Address - Phone:269-979-6455
Practice Address - Fax:269-979-6458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000142237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI540A3601OtherBLUE CROSS BLUE SHIELD
MI540A3601OtherBLUE CROSS BLUE SHIELD