Healthcare Provider Details

I. General information

NPI: 1275611121
Provider Name (Legal Business Name): RIVERFRONT HEARING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3725 S SAGINAW ST STE 107
FLINT MI
48507-4321
US

IV. Provider business mailing address

3725 S SAGINAW ST STE 107
FLINT MI
48507-4321
US

V. Phone/Fax

Practice location:
  • Phone: 810-235-8750
  • Fax: 810-235-8760
Mailing address:
  • Phone: 810-235-8750
  • Fax: 810-235-8760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number3501002820
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number3501003346
License Number StateMI

VIII. Authorized Official

Name: MR. MILTON MEYERS
Title or Position: OWNER
Credential:
Phone: 810-235-8750