Provider Demographics
NPI:1699829176
Name:HILL, GALE ANN (HEARING AID DEALER)
Entity Type:Individual
Prefix:
First Name:GALE
Middle Name:ANN
Last Name:HILL
Suffix:
Gender:F
Credentials:HEARING AID DEALER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 E CLOVERLAND DR
Mailing Address - Street 2:UNIT #3
Mailing Address - City:IRONWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49938-1300
Mailing Address - Country:US
Mailing Address - Phone:906-932-9033
Mailing Address - Fax:
Practice Address - Street 1:237 E CLOVERLAND DR
Practice Address - Street 2:UNIT #3
Practice Address - City:IRONWOOD
Practice Address - State:MI
Practice Address - Zip Code:49938-1300
Practice Address - Country:US
Practice Address - Phone:906-932-9033
Practice Address - Fax:906-932-4703
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501002989237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI540B710240OtherBLUE CROSS BLUE SHIELD