Provider Demographics
NPI:1841281383
Name:HEARING WELLNESS CENTER INC.
Entity type:Organization
Organization Name:HEARING WELLNESS CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:M
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC A
Authorized Official - Phone:231-798-2323
Mailing Address - Street 1:6653 GRAND HAVEN RD
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49456-9616
Mailing Address - Country:US
Mailing Address - Phone:231-798-2323
Mailing Address - Fax:231-798-4410
Practice Address - Street 1:6653 GRAND HAVEN RD
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:MI
Practice Address - Zip Code:49456-9616
Practice Address - Country:US
Practice Address - Phone:231-798-2323
Practice Address - Fax:231-798-4410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-03
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501001785237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
540G01126OtherBS HEARING