Healthcare Provider Details

I. General information

NPI: 1437498995
Provider Name (Legal Business Name): HERE 4 YOU HEARING CTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2013
Last Update Date: 03/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 ROBINSON RD SUITE 3
JACKSON MI
49203-3798
US

IV. Provider business mailing address

2204 LAKE WOOD DR
JACKSON MI
49203-5581
US

V. Phone/Fax

Practice location:
  • Phone: 517-841-0277
  • Fax:
Mailing address:
  • Phone: 517-841-0277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number3501003043
License Number StateMI

VIII. Authorized Official

Name: MR. STEPHEN PATRICK LAFAY
Title or Position: PRESIDENT
Credential:
Phone: 517-841-0277