Provider Demographics
NPI:1508202615
Name:DYNAMIC HEARING CARE SYSTEMS LLC.
Entity Type:Organization
Organization Name:DYNAMIC HEARING CARE SYSTEMS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:BIRGY
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING AID DEALER
Authorized Official - Phone:231-631-4657
Mailing Address - Street 1:P.O. BOX 5
Mailing Address - Street 2:
Mailing Address - City:KALKASKA
Mailing Address - State:MI
Mailing Address - Zip Code:49646
Mailing Address - Country:US
Mailing Address - Phone:231-384-6556
Mailing Address - Fax:231-384-6557
Practice Address - Street 1:303 N. CEDAR ST.
Practice Address - Street 2:
Practice Address - City:KALKASKA
Practice Address - State:MI
Practice Address - Zip Code:49646
Practice Address - Country:US
Practice Address - Phone:231-384-6556
Practice Address - Fax:231-384-6557
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DYNAMIC HEARING CARE SYSTEMS LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501005185237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty