Healthcare Provider Details

I. General information

NPI: 1619143518
Provider Name (Legal Business Name): RUHLING ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4598 PLAINFIELD NE
GRAND RAPIDS MI
49525
US

IV. Provider business mailing address

4598 PLAINFIELD NE
GRAND RAPIDS MI
49525
US

V. Phone/Fax

Practice location:
  • Phone: 616-364-0090
  • Fax: 616-364-7441
Mailing address:
  • Phone: 616-364-0090
  • Fax: 616-364-7441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. DALE M RUHLING
Title or Position: OWNER
Credential:
Phone: 616-364-0090