Provider Demographics
NPI:1922136183
Name:SEKIM RESOURCES MICHIGAN INC
Entity Type:Organization
Organization Name:SEKIM RESOURCES MICHIGAN INC
Other - Org Name:MIRACLE-EAR HEARING CENTERS OF SOUTHWEST MICHIGAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:SEEDORF
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:269-445-8845
Mailing Address - Street 1:21616 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:CASSOPOLIS
Mailing Address - State:MI
Mailing Address - Zip Code:49031-9321
Mailing Address - Country:US
Mailing Address - Phone:269-445-8854
Mailing Address - Fax:
Practice Address - Street 1:21616 LAKE ST
Practice Address - Street 2:
Practice Address - City:CASSOPOLIS
Practice Address - State:MI
Practice Address - Zip Code:49031-9321
Practice Address - Country:US
Practice Address - Phone:269-445-8854
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501004495237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty