Provider Demographics
NPI:1912149220
Name:HEAR CLEAR
Entity Type:Organization
Organization Name:HEAR CLEAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:WIZGIRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-525-8467
Mailing Address - Street 1:29570 JACQUELYN DR
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-4444
Mailing Address - Country:US
Mailing Address - Phone:734-525-8467
Mailing Address - Fax:734-525-8468
Practice Address - Street 1:17324 FARMINGTON RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3158
Practice Address - Country:US
Practice Address - Phone:734-525-8467
Practice Address - Fax:734-525-8468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501002930332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment