Provider Demographics
NPI:1437520210
Name:CALVIN SPAUD, INC
Entity Type:Organization
Organization Name:CALVIN SPAUD, INC
Other - Org Name:CALVIN COLLEGE REHABILITATION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDERPLOEG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-288-3732
Mailing Address - Street 1:1310 E. BELTLINE AVE SE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49506-4304
Mailing Address - Country:US
Mailing Address - Phone:616-288-3732
Mailing Address - Fax:616-288-9857
Practice Address - Street 1:1310 E. BELTLINE AVE SE
Practice Address - Street 2:SUITE 230
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49506-4304
Practice Address - Country:US
Practice Address - Phone:616-288-3732
Practice Address - Fax:616-288-9857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332S00000XSuppliersHearing Aid Equipment
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty