Provider Demographics
NPI:1467756882
Name:HEAR ONE MICHIGAN LLC
Entity Type:Organization
Organization Name:HEAR ONE MICHIGAN LLC
Other - Org Name:LAKESHORE HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KARP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-772-9822
Mailing Address - Street 1:400 S STATE ST
Mailing Address - Street 2:SUITE 260
Mailing Address - City:ZEELAND
Mailing Address - State:MI
Mailing Address - Zip Code:49464-2067
Mailing Address - Country:US
Mailing Address - Phone:616-772-9822
Mailing Address - Fax:
Practice Address - Street 1:400 S STATE ST
Practice Address - Street 2:SUITE 260
Practice Address - City:ZEELAND
Practice Address - State:MI
Practice Address - Zip Code:49464-2067
Practice Address - Country:US
Practice Address - Phone:616-772-9822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000328231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty