Healthcare Provider Details

I. General information

NPI: 1477951960
Provider Name (Legal Business Name): TROY HEARING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2014
Last Update Date: 12/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 S ADAMS RD STE 100
BIRMINGHAM MI
48009-6902
US

IV. Provider business mailing address

725 S ADAMS RD
BIRMINGHAM MI
48009-6902
US

V. Phone/Fax

Practice location:
  • Phone: 248-792-2761
  • Fax: 248-792-2761
Mailing address:
  • Phone: 248-792-2761
  • Fax: 248-792-2761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: ERIC TERRIEN
Title or Position: OWNER
Credential:
Phone: 248-792-2761