Healthcare Provider Details

I. General information

NPI: 1811211170
Provider Name (Legal Business Name): HOPCO HEARING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2010
Last Update Date: 03/16/2010
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 Code332S00000X
TaxonomyHearing Aid Equipment
License Number1601000452
License Number StateMI

VIII. Authorized Official

Name: SHERYL LYNN HOPKINS
Title or Position: OWNER
Credential: M.A.CCC-A
Phone: 517-782-4185