Provider Demographics
NPI:1659795177
Name:ADVANCED HEARING INSTRUMENTS
Entity Type:Organization
Organization Name:ADVANCED HEARING INSTRUMENTS
Other - Org Name:MONROE OFFICE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/ DEALER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CHARETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-240-4830
Mailing Address - Street 1:15555 S TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48161-4000
Mailing Address - Country:US
Mailing Address - Phone:734-240-4830
Mailing Address - Fax:734-240-4830
Practice Address - Street 1:15555 S TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-4000
Practice Address - Country:US
Practice Address - Phone:734-240-4830
Practice Address - Fax:734-240-4830
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED HEARING INSTRUMENTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501004853237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty