Healthcare Provider Details

I. General information

NPI: 1508301961
Provider Name (Legal Business Name): HOPCO HEARING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2016
Last Update Date: 03/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2257 WILDWOOD AVE
JACKSON MI
49202-3945
US

IV. Provider business mailing address

2257 WILDWOOD AVE
JACKSON MI
49202-3945
US

V. Phone/Fax

Practice location:
  • Phone: 517-782-4185
  • Fax: 517-782-0130
Mailing address:
  • Phone: 517-782-4185
  • Fax: 517-782-0130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1601000452
License Number StateMI

VIII. Authorized Official

Name: SHERYL HOPKINS
Title or Position: CO-OWNER
Credential:
Phone: 517-782-4185