Provider Demographics
NPI:1972776896
Name:ADVANCED HEARING INSTRUMENTS
Entity Type:Organization
Organization Name:ADVANCED HEARING INSTRUMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:HAZEL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MALUZHINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:BCHIS ACA
Authorized Official - Phone:734-285-1669
Mailing Address - Street 1:17425 FORT ST
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:MI
Mailing Address - Zip Code:48193-6630
Mailing Address - Country:US
Mailing Address - Phone:734-285-1669
Mailing Address - Fax:734-285-5368
Practice Address - Street 1:17425 FORT ST
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:MI
Practice Address - Zip Code:48193-6630
Practice Address - Country:US
Practice Address - Phone:734-285-1669
Practice Address - Fax:734-285-5368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501002233237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1932138799OtherNPI
MI902749878Medicaid
MI903268600Medicaid
MI540H208270OtherBLUE CROSS BLUE SHIELD