Provider Demographics
NPI:1891845335
Name:EARPHONICS INC
Entity type:Organization
Organization Name:EARPHONICS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:GEORGEAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BARDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:568-773-3300
Mailing Address - Street 1:22777 KELLY RD
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-2036
Mailing Address - Country:US
Mailing Address - Phone:586-773-3300
Mailing Address - Fax:586-773-2232
Practice Address - Street 1:22777 KELLY RD
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-2036
Practice Address - Country:US
Practice Address - Phone:586-773-3300
Practice Address - Fax:586-773-2232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI231H00000X
237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1003589OtherHEALTH PLUS HMO
MI1003590OtherHEALTH PLUS HMO
MA1003592OtherHEALTH PLUS HMO
MI1003591OtherHEALTH PLUS HMO
MI1003593OtherHEALTH PLUS HMO
MI49462OtherOMINCARE HMO
MI002239OtherCAPE HEALTH HMO
MI119873OtherGREAT LAKES HMO
MI505840OtherCARE CHOICE HMO
MI5410188OtherHEALTH PLUS HMO
MI119873OtherGREAT LAKES HMO