Provider Demographics
NPI:1891708947
Name:HEARING HEALTH CENTER INC PC
Entity Type:Organization
Organization Name:HEARING HEALTH CENTER INC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TUDOR
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:517-364-5678
Mailing Address - Street 1:1200 E MICHIGAN AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-1894
Mailing Address - Country:US
Mailing Address - Phone:517-364-5678
Mailing Address - Fax:517-364-5674
Practice Address - Street 1:1200 E MICHIGAN AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-1800
Practice Address - Country:US
Practice Address - Phone:517-364-5678
Practice Address - Fax:517-364-5674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4500033OtherPHP- HEARING AIDS
MI640C312730OtherBLUE CROSS BLUE SHIELD
MI4500031OtherPHP- SERVICES
MI200000000514OtherPHP
MI4500031OtherPHP- SERVICES