Healthcare Provider Details

I. General information

NPI: 1730370198
Provider Name (Legal Business Name): PREFERRED AUDIOLOGY & HEARING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2007
Last Update Date: 08/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 W SQUARE LAKE RD SUITE 300
BLOOMFIELD HILLS MI
48302-0465
US

IV. Provider business mailing address

10 W SQUARE LAKE RD SUITE 300
BLOOMFIELD HILLS MI
48302-0465
US

V. Phone/Fax

Practice location:
  • Phone: 248-230-1221
  • Fax: 248-230-1269
Mailing address:
  • Phone: 248-230-1221
  • Fax: 248-230-1269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number1601000145
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number1601000145
License Number StateMI

VIII. Authorized Official

Name: DR. LISA ANN HAMZIK
Title or Position: AUDIOLOGIST/OWNER
Credential: AU.D.
Phone: 248-230-1221