Healthcare Provider Details

I. General information

NPI: 1649996398
Provider Name (Legal Business Name): HEAR 4 YOU HEARING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2022
Last Update Date: 10/14/2022
Certification Date: 10/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2136 ROBINSON RD STE 3
JACKSON MI
49203-3558
US

IV. Provider business mailing address

1410 W GANSON ST
JACKSON MI
49202-4063
US

V. Phone/Fax

Practice location:
  • Phone: 517-962-5063
  • Fax: 517-962-5209
Mailing address:
  • Phone: 517-937-0630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KIM SHANKS
Title or Position: DIRECTOR OF OPERATION
Credential:
Phone: 517-789-8980