Provider Demographics
NPI:1457419541
Name:EAR CENTER INC
Entity Type:Organization
Organization Name:EAR CENTER INC
Other - Org Name:KELLY A ZILLI
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MISS
Authorized Official - First Name:LISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRADET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-754-2230
Mailing Address - Street 1:2421 MONROE STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124
Mailing Address - Country:US
Mailing Address - Phone:313-562-4485
Mailing Address - Fax:313-562-0447
Practice Address - Street 1:2421 MONROE ST STE 202
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-3043
Practice Address - Country:US
Practice Address - Phone:313-562-4485
Practice Address - Fax:313-562-0447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4687710Medicaid
MI0P04230Medicare PIN