Organization Name: | GRAND HEARING CENTER, LLC |
NPI Number: | 1336432483 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS A LOGEL (OWNER - AUDIOLOGIST) |
Mailing Address: | 1330 E Grand River Ave Suite B Portland |
State: | MI US |
Postal Code: | 488751630 |
Phone Number: | 5175260390 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2011 |
NPI Last Update Date: | 04/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | 1601000414 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |