Provider Demographics
NPI:1467972893
Name:DR. EIMERS HEARING CLINIC
Entity Type:Organization
Organization Name:DR. EIMERS HEARING CLINIC
Other - Org Name:DR. EIMERS HEARING CLINIC PLLC
Other - Org Type:Other Name
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:RONAE
Authorized Official - Last Name:EIMERS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:231-445-9119
Mailing Address - Street 1:724 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHEBOYGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49721-2220
Mailing Address - Country:US
Mailing Address - Phone:231-445-9119
Mailing Address - Fax:231-627-3099
Practice Address - Street 1:724 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CHEBOYGAN
Practice Address - State:MI
Practice Address - Zip Code:49721-2220
Practice Address - Country:US
Practice Address - Phone:231-445-9119
Practice Address - Fax:231-627-3099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000616231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty