Provider Demographics
NPI:1942422456
Name:J & A LYPKA CORPORATION
Entity Type:Organization
Organization Name:J & A LYPKA CORPORATION
Other - Org Name:LYPKA HEARING AID SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LYPKA
Authorized Official - Suffix:
Authorized Official - Credentials:MACCCA
Authorized Official - Phone:248-477-6682
Mailing Address - Street 1:31148 GRAND RIVER
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336
Mailing Address - Country:US
Mailing Address - Phone:248-477-6682
Mailing Address - Fax:248-477-4746
Practice Address - Street 1:31148 GRAND RIVER
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336
Practice Address - Country:US
Practice Address - Phone:248-477-6682
Practice Address - Fax:248-477-4746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000238231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1801948799Medicare UPIN