Provider Demographics
NPI:1538515721
Name:AUDIONET AMERICA - ST CLAIR SHORES LLC
Entity Type:Organization
Organization Name:AUDIONET AMERICA - ST CLAIR SHORES LLC
Other - Org Name:AUDIONET HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEFFERLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-944-0043
Mailing Address - Street 1:33900 HARPER AVE
Mailing Address - Street 2:SUITE A101
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48035-4258
Mailing Address - Country:US
Mailing Address - Phone:586-944-0043
Mailing Address - Fax:586-261-5036
Practice Address - Street 1:22631 GREATER MACK AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-2055
Practice Address - Country:US
Practice Address - Phone:586-252-2914
Practice Address - Fax:586-252-2918
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUDIONET AMERICA HOLDINGS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-06
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty