Healthcare Provider Details

I. General information

NPI: 1841437795
Provider Name (Legal Business Name): ADVANTAGE AUDIOLOGY AND HEARING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2009
Last Update Date: 10/26/2023
Certification Date: 10/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 STATE ST
GRAYLING MI
49738-1861
US

IV. Provider business mailing address

306 STATE ST
GRAYLING MI
49738-1861
US

V. Phone/Fax

Practice location:
  • Phone: 989-745-6667
  • Fax: 989-745-6668
Mailing address:
  • Phone: 989-745-6667
  • Fax: 989-745-6668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number1601000205
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN T HAMILTON
Title or Position: AUDIOLOGIST/PRESIDENT
Credential: AU.D.,CCC/A
Phone: 989-350-2791