GREAT LAKES HEARING NPI 1154470334

NPI Information

NPI: 1154470334
Provider Name: GREAT LAKES HEARING
Classification: Hearing Aid Equipment - 332S00000X
Entity Type: Organization
Address:
6272 28TH ST SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 988-4327
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GREAT LAKES HEARING is a hearing aid equipment in Grand Rapids, MI. The provider is the manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. GREAT LAKES HEARING NPI is 1154470334. The provider is registered as an organization entity type.

The provider's business location address is:

6272 28TH ST SE
GRAND RAPIDS, MI
ZIP 49546-902
Phone: (616) 988-4327
Fax: (616) 988-9070

The provider's authorized official is Nancy Rae Faasse' .
The authorized official title is Owner and has the following contact phone number (616) 988-4327.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332S00000X	Hearing Aid Equipment		3501000421	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0004271683	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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