Provider Demographics
NPI: | 1063799328 |
---|---|
Name: | PRECIOUS HEARING, INC |
Entity type: | Organization |
Organization Name: | PRECIOUS HEARING, INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | GERALD |
Authorized Official - Middle Name: | M |
Authorized Official - Last Name: | MEYER |
Authorized Official - Suffix: | JR |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 734-322-3365 |
Mailing Address - Street 1: | 17 WASHINGTON ST |
Mailing Address - Street 2: | |
Mailing Address - City: | MONROE |
Mailing Address - State: | MI |
Mailing Address - Zip Code: | 48161-2508 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 734-322-3365 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 17 WASHINGTON ST |
Practice Address - Street 2: | |
Practice Address - City: | MONROE |
Practice Address - State: | MI |
Practice Address - Zip Code: | 48161-2508 |
Practice Address - Country: | US |
Practice Address - Phone: | 734-322-3365 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-11-14 |
Last Update Date: | 2011-11-14 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MI | 3501004363 | 237700000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 237700000X | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist | Group - Single Specialty |