Provider Demographics
NPI:1215097720
Name:DENSON HEARING CENTER INC
Entity type:Organization
Organization Name:DENSON HEARING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:DENSON
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:517-546-7456
Mailing Address - Street 1:736 S MICHIGAN AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-2635
Mailing Address - Country:US
Mailing Address - Phone:517-546-7456
Mailing Address - Fax:517-546-7475
Practice Address - Street 1:736 S MICHIGAN AVE
Practice Address - Street 2:SUITE1
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-2635
Practice Address - Country:US
Practice Address - Phone:517-546-7456
Practice Address - Fax:517-546-7475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501001117332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI54 OD70281OtherBLUE CROSS BLUE SHEILD