Provider Demographics
NPI:1285709402
Name:MID MICHIGAN HEARING
Entity type:Organization
Organization Name:MID MICHIGAN HEARING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANMORE
Authorized Official - Suffix:
Authorized Official - Credentials:BCHIS
Authorized Official - Phone:517-482-1283
Mailing Address - Street 1:1000 N WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-4800
Mailing Address - Country:US
Mailing Address - Phone:517-482-1283
Mailing Address - Fax:517-482-6235
Practice Address - Street 1:1000 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-4800
Practice Address - Country:US
Practice Address - Phone:517-482-1283
Practice Address - Fax:517-482-6235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI540C30268OtherBCBSM