Provider Demographics
NPI:1023290194
Name:BROWN HEARING HEALTH SERVICES INC
Entity type:Organization
Organization Name:BROWN HEARING HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:RUSSELL
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:517-659-8700
Mailing Address - Street 1:907 E CHICAGO RD
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:MI
Mailing Address - Zip Code:49091-1921
Mailing Address - Country:US
Mailing Address - Phone:517-659-8700
Mailing Address - Fax:517-279-6119
Practice Address - Street 1:907 E CHICAGO RD
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:MI
Practice Address - Zip Code:49091-1921
Practice Address - Country:US
Practice Address - Phone:517-659-8700
Practice Address - Fax:517-279-6119
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROWN HEARING HEALTH SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-30
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501002908237600000X
MI1601000449231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI=========OtherEIN