Provider Demographics
NPI:1285966622
Name:HEARING CONSULTANTS OF SOUTHEAST MICHIGAN, LLC
Entity type:Organization
Organization Name:HEARING CONSULTANTS OF SOUTHEAST MICHIGAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VANMAELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-725-5380
Mailing Address - Street 1:30080 23 MILE RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48047-5718
Mailing Address - Country:US
Mailing Address - Phone:586-725-5380
Mailing Address - Fax:586-229-2495
Practice Address - Street 1:30080 23 MILE RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MI
Practice Address - Zip Code:48047-5718
Practice Address - Country:US
Practice Address - Phone:586-725-5380
Practice Address - Fax:586-229-2495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-10
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000445231H00000X, 231HA2500X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology SupplierGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2812Medicare UPIN
MI2813Medicare UPIN
MI2812001Medicare UPIN
MI2813001Medicare UPIN