Healthcare Provider Details

I. General information

NPI: 1881999019
Provider Name (Legal Business Name): BG HEARING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2011
Last Update Date: 01/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 DEXTER RD
AUBURN HILLS MI
48326-2305
US

IV. Provider business mailing address

2121 DEXTER RD
AUBURN HILLS MI
48326-2305
US

V. Phone/Fax

Practice location:
  • Phone: 248-340-9361
  • Fax:
Mailing address:
  • Phone: 248-340-9361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN A BJEKICH-GORDON
Title or Position: OWNER / DEALER
Credential: BCHIS
Phone: 248-340-9361