Provider Demographics
NPI:1841437795
Name:ADVANTAGE AUDIOLOGY AND HEARING CENTER
Entity type:Organization
Organization Name:ADVANTAGE AUDIOLOGY AND HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:AUD,CCC/A
Authorized Official - Phone:989-350-2791
Mailing Address - Street 1:306 STATE ST
Mailing Address - Street 2:
Mailing Address - City:GRAYLING
Mailing Address - State:MI
Mailing Address - Zip Code:49738-1861
Mailing Address - Country:US
Mailing Address - Phone:989-745-6667
Mailing Address - Fax:989-745-6668
Practice Address - Street 1:306 STATE ST
Practice Address - Street 2:
Practice Address - City:GRAYLING
Practice Address - State:MI
Practice Address - Zip Code:49738-1861
Practice Address - Country:US
Practice Address - Phone:989-745-6667
Practice Address - Fax:989-745-6668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-14
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QH0700X, 332S00000X
MI1601000205237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Single Specialty
No332S00000XSuppliersHearing Aid Equipment