Provider Demographics
NPI:1790999209
Name:MACOMB HEARING AID CENTER L.L.C.
Entity Type:Organization
Organization Name:MACOMB HEARING AID CENTER L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:RUSSELL
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-756-7700
Mailing Address - Street 1:27041 SCHOENHERR RD
Mailing Address - Street 2:SUITE B.
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-6674
Mailing Address - Country:US
Mailing Address - Phone:586-756-7700
Mailing Address - Fax:586-756-7711
Practice Address - Street 1:27041 SCHOENHERR RD
Practice Address - Street 2:SUITE B.
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-6674
Practice Address - Country:US
Practice Address - Phone:586-756-7700
Practice Address - Fax:586-756-7711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment