Provider Demographics
NPI:1841327368
Name:KREITL INC.
Entity type:Organization
Organization Name:KREITL INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEALER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BJEKICH
Authorized Official - Suffix:
Authorized Official - Credentials:BCHIS
Authorized Official - Phone:248-597-2044
Mailing Address - Street 1:12154 GREEN RD
Mailing Address - Street 2:
Mailing Address - City:GOODRICH
Mailing Address - State:MI
Mailing Address - Zip Code:48438-9740
Mailing Address - Country:US
Mailing Address - Phone:810-636-2738
Mailing Address - Fax:810-636-2739
Practice Address - Street 1:12154 GREEN RD
Practice Address - Street 2:
Practice Address - City:GOODRICH
Practice Address - State:MI
Practice Address - Zip Code:48438-9740
Practice Address - Country:US
Practice Address - Phone:810-636-2738
Practice Address - Fax:810-636-2739
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KREITL INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-28
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501002674332S00000X, 237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty