Organization Name: | GENESEE ENT ASSOCIATES, PC |
NPI Number: | 1144511312 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KHALED SHUKAIRY (OWNER/PRESIDENT) |
Mailing Address: | 1501 S Center Rd Bldg B Burton |
State: | MI US |
Postal Code: | 485091731 |
Phone Number: | 8107420225 |
Fax Number: | 8107427990 |
NPI Enumeration Date: | 04/22/2011 |
NPI Last Update Date: | 04/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | 1601000320 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Hearing Aid Equipment |
Taxonomy Specialization: | |
Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |