Provider Demographics
NPI:1962635912
Name:PREMIER HEARING LLC
Entity Type:Organization
Organization Name:PREMIER HEARING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:T
Authorized Official - Last Name:GALE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:248-347-8285
Mailing Address - Street 1:44000 W 12 MILE RD STE 212
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-2648
Mailing Address - Country:US
Mailing Address - Phone:248-347-8285
Mailing Address - Fax:248-347-8015
Practice Address - Street 1:44000 W 12 MILE RD STE 212
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-2648
Practice Address - Country:US
Practice Address - Phone:248-347-8285
Practice Address - Fax:248-347-8015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment