Provider Demographics
NPI:1063590917
Name:HEARING SERVICES, LTD
Entity type:Organization
Organization Name:HEARING SERVICES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:B
Authorized Official - Last Name:SEAL
Authorized Official - Suffix:
Authorized Official - Credentials:MSCCC-A
Authorized Official - Phone:734-282-7991
Mailing Address - Street 1:1817 HEATHERHILL ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48183-1910
Mailing Address - Country:US
Mailing Address - Phone:734-282-7991
Mailing Address - Fax:
Practice Address - Street 1:13123 EUREKA RD
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-1345
Practice Address - Country:US
Practice Address - Phone:734-282-7991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA-01223231H00000X
MI1601000281231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI64OH226510OtherBCBSM
MI804690878Medicaid
MI0P38090Medicare PIN