Provider Demographics
NPI:1245552223
Name:COMPREHENSIVE HEARING SERVICES
Entity type:Organization
Organization Name:COMPREHENSIVE HEARING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:HICKOX
Authorized Official - Suffix:
Authorized Official - Credentials:AUD, MA, CCC-A
Authorized Official - Phone:616-252-5745
Mailing Address - Street 1:4055 CASCADE RD SE STE 201
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-2149
Mailing Address - Country:US
Mailing Address - Phone:616-252-5745
Mailing Address - Fax:616-252-5765
Practice Address - Street 1:4055 CASCADE RD SE STE 201
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-2149
Practice Address - Country:US
Practice Address - Phone:616-252-5745
Practice Address - Fax:616-252-5765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000307237600000X, 332S00000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty