Provider Demographics
NPI:1881999019
Name:BG HEARING
Entity type:Organization
Organization Name:BG HEARING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / DEALER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BJEKICH-GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:BCHIS
Authorized Official - Phone:248-340-9361
Mailing Address - Street 1:2121 DEXTER RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-2305
Mailing Address - Country:US
Mailing Address - Phone:248-340-9361
Mailing Address - Fax:
Practice Address - Street 1:2121 DEXTER RD
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-2305
Practice Address - Country:US
Practice Address - Phone:248-340-9361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty