Provider Demographics
NPI:1336561604
Name:ADVANCED HEARING INSTRUMENTS
Entity Type:Organization
Organization Name:ADVANCED HEARING INSTRUMENTS
Other - Org Name:ADVANCED HEARING IN STRUMENTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DEALER/SALESPERSON
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CHARETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
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?:Yes
Parent Organization LBN:ADVANCED HEARING INSTRUMENTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-06
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501004853237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty