Provider Demographics
NPI:1467570598
Name:GERALD HUG M A CCC-A & ASSOCIATES INC
Entity Type:Organization
Organization Name:GERALD HUG M A CCC-A & ASSOCIATES INC
Other - Org Name:HUG CENTER FOR HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:AUGUST
Authorized Official - Last Name:HUG
Authorized Official - Suffix:JR
Authorized Official - Credentials:MA, CCC-A
Authorized Official - Phone:734-451-0800
Mailing Address - Street 1:705 SOUTH MAIN STREET
Mailing Address - Street 2:SUITE101
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-1738
Mailing Address - Country:US
Mailing Address - Phone:734-451-0800
Mailing Address - Fax:734-451-0813
Practice Address - Street 1:705 S MAIN ST
Practice Address - Street 2:SUITE101
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-2089
Practice Address - Country:US
Practice Address - Phone:734-451-0800
Practice Address - Fax:734-451-0813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000233231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOM83950OtherBCBS MEDICARE ADVANTAGE
MI0M83950OtherHEALTH ALLIANCE PLAN
MI4456768Medicaid
MI141802OtherCARE CHOICES
MI640F326550OtherBLUE CARE NETWORK
MI540H208620OtherBCBS OF MI
MI640F326550OtherBCBS OF MI
MIHA500003OtherMCARE
MI0M83950OtherHEALTH ALLIANCE PLAN