Provider Demographics
NPI:1447385224
Name:OAKLAND HEARING AID COMPANY, LLC
Entity Type:Organization
Organization Name:OAKLAND HEARING AID COMPANY, LLC
Other - Org Name:OAKLAND HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:RONTAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-865-3327
Mailing Address - Street 1:28300 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3704
Mailing Address - Country:US
Mailing Address - Phone:248-865-3327
Mailing Address - Fax:248-538-4643
Practice Address - Street 1:28300 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3704
Practice Address - Country:US
Practice Address - Phone:248-865-3327
Practice Address - Fax:248-538-4643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501002934237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty