Provider Demographics
NPI:1790004166
Name:VERITAS GROUP LLC
Entity Type:Organization
Organization Name:VERITAS GROUP LLC
Other - Org Name:COMPREHENSIVE EAR AND HEARING CENTER OF HOLLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLI
Authorized Official - Middle Name:
Authorized Official - Last Name:VANHARKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-772-1986
Mailing Address - Street 1:300 S STATE ST STE 1
Mailing Address - Street 2:
Mailing Address - City:ZEELAND
Mailing Address - State:MI
Mailing Address - Zip Code:49464-1677
Mailing Address - Country:US
Mailing Address - Phone:616-393-5482
Mailing Address - Fax:616-393-5483
Practice Address - Street 1:300 S STATE ST STE 1
Practice Address - Street 2:
Practice Address - City:ZEELAND
Practice Address - State:MI
Practice Address - Zip Code:49464-1677
Practice Address - Country:US
Practice Address - Phone:616-772-1986
Practice Address - Fax:616-772-1844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-25
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MITD038705207YX0007X
MI4301038705207YX0007X
MI1601000182231H00000X
MI3501003169237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
No207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty