Provider Demographics
NPI:1992120505
Name:MACOMB HEARING AID CENTER
Entity type:Organization
Organization Name:MACOMB HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-756-7700
Mailing Address - Street 1:27041 SCHOENHERR RD
Mailing Address - Street 2:STE B
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-6674
Mailing Address - Country:US
Mailing Address - Phone:586-756-7700
Mailing Address - Fax:586-756-7711
Practice Address - Street 1:27041 SCHOENHERR RD
Practice Address - Street 2:STE B
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-6674
Practice Address - Country:US
Practice Address - Phone:586-756-7700
Practice Address - Fax:586-756-7711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-19
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501001819237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty