Provider Demographics
NPI:1417279027
Name:AMERICAN HEARING CENTERS, LLC
Entity type:Organization
Organization Name:AMERICAN HEARING CENTERS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUDIOPROSTHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS, ACA
Authorized Official - Phone:231-728-5720
Mailing Address - Street 1:1675 LEAHY ST
Mailing Address - Street 2:STE 109
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-5500
Mailing Address - Country:US
Mailing Address - Phone:231-728-5720
Mailing Address - Fax:231-728-5721
Practice Address - Street 1:4868 LAKE MICHIGAN DR
Practice Address - Street 2:STE A
Practice Address - City:ALLENDALE
Practice Address - State:MI
Practice Address - Zip Code:49401-9577
Practice Address - Country:US
Practice Address - Phone:616-850-8800
Practice Address - Fax:616-850-8811
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN HEARING CENTERS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-23
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty