MEDICARE: HEARING SERVICES OF BAD AXE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	3501001531	MI
2	231H00000X	Audiologist		MI
3	237600000X	Audiologist-Hearing Aid Fitter		MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	640C22601	OTHER	MI	BCBA TESTING
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	540C20269	OTHER	MI	BCBS DISPENSING

General Provider Information

NPI Number	:	1225104003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARING SERVICES OF BAD AXE

Provider Business Mailing Address
First Line	:	1252 SAND BEACH RD
Second Line	:
City	:	BAD AXE
State	:	MI
Zip	:	48413-8817
Country	:	US
Telephone Number	:	989-269-4327
Fax Number	:	989-269-2251

Provider Business Practice Location Address
First Line	:	1252 SAND BEACH RD
Second Line	:
City	:	BAD AXE
State	:	MI
Zip	:	48413-8817
Country	:	US
Telephone Number	:	989-269-4327
Fax Number	:	989-269-2251

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DIANE LOUISE KGLIN
Credential	:	MA CC-A
Telephone Number	:	989-269-4327

Provider Enumeration Date	:	11/25/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

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Practice Location Address:

1252 SAND BEACH RD
BAD AXE, MI
48413-8817

Practice Phone: 989-269-4327
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1477611010 — DR. RITA MARIE MESSING O.D.
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1942328232 — GREGORY A. ATKINS O.D.
Practice Location Address:

1266 SAND BEACH RD
BAD AXE, MI
48413-8817

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1376780825 — GREGORY A. ATKINS
Practice Location Address:

1266 SAND BEACH RD
BAD AXE, MI
48413-8817

Practice Phone: 989-269-5393
Practice Fax: 989-269-6013

1891938478 — SARAH ROGGENBUCK
Practice Location Address:

1252 SAND BEACH RD
BAD AXE, MI
48413-8817

Practice Phone: 989-269-4327
Practice Fax: 989-269-2251

1619392081 — MISS SHAUNA MARIE BOOMS
Practice Location Address:

1263 SAND BEACH RD
BAD AXE, MI
48413-8817

Practice Phone: 989-269-9229
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Directions to “HEARING SERVICES OF BAD AXE ” Practice Location

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