Provider Demographics
NPI:1396056339
Name:HEARING CLINICS, LLC
Entity type:Organization
Organization Name:HEARING CLINICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOPROSTHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:ROLF
Authorized Official - Last Name:STURTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MCAP
Authorized Official - Phone:810-982-7391
Mailing Address - Street 1:816 HURON AVE
Mailing Address - Street 2:
Mailing Address - City:PORT HURON
Mailing Address - State:MI
Mailing Address - Zip Code:48060-3705
Mailing Address - Country:US
Mailing Address - Phone:810-982-7391
Mailing Address - Fax:810-982-9395
Practice Address - Street 1:816 HURON AVE
Practice Address - Street 2:
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-3705
Practice Address - Country:US
Practice Address - Phone:810-982-7391
Practice Address - Fax:810-982-9395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000434174400000X
MI3501000413174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty