Healthcare Provider Details

I. General information

NPI: 1457419541
Provider Name (Legal Business Name): EAR CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 11/14/2023
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2421 MONROE ST STE 202
DEARBORN MI
48124-3043
US

IV. Provider business mailing address

2421 MONROE STREET SUITE 202
DEARBORN MI
48124
US

V. Phone/Fax

Practice location:
  • Phone: 313-562-4485
  • Fax: 313-562-0447
Mailing address:
  • Phone: 313-562-4485
  • Fax: 313-562-0447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: MISS LISSA FRADET
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 586-754-2230