Provider Demographics
NPI:1881865947
Name:AUDIO AID OF CENTRAL MICHIGAN, LLC
Entity Type:Organization
Organization Name:AUDIO AID OF CENTRAL MICHIGAN, LLC
Other - Org Name:AUDIBEL HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-225-9892
Mailing Address - Street 1:322 S. LAFAYETTE STREET
Mailing Address - Street 2:SUITE D
Mailing Address - City:GREENVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48838
Mailing Address - Country:US
Mailing Address - Phone:616-225-9892
Mailing Address - Fax:616-225-8936
Practice Address - Street 1:322 S. LAFAYETTE STREET
Practice Address - Street 2:SUITE D
Practice Address - City:GREENVILLE
Practice Address - State:MI
Practice Address - Zip Code:48838
Practice Address - Country:US
Practice Address - Phone:616-225-9892
Practice Address - Fax:616-225-8936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000047231H00000X, 237600000X
MI3501002249237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI804675488Medicaid
MI540D113710OtherBCBS
MI640D113770OtherBCBS
MI903471250Medicaid
MI0D113770OtherBCN
MI5993641OtherAETNA
MI540D113710OtherBCBS