Provider Demographics
NPI:1497129670
Name:HERITAGE HEARING, PC
Entity Type:Organization
Organization Name:HERITAGE HEARING, PC
Other - Org Name:HERITAGE HEARING OF ARMADA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:YANOK
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:586-413-4980
Mailing Address - Street 1:PO BOX 432
Mailing Address - Street 2:
Mailing Address - City:ARMADA
Mailing Address - State:MI
Mailing Address - Zip Code:48005-0432
Mailing Address - Country:US
Mailing Address - Phone:248-844-0020
Mailing Address - Fax:
Practice Address - Street 1:23083 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ARMADA
Practice Address - State:MI
Practice Address - Zip Code:48005-4706
Practice Address - Country:US
Practice Address - Phone:248-844-0020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-25
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty