Healthcare Provider Details

I. General information

NPI: 1629118922
Provider Name (Legal Business Name): AUDIBEL OF MONROE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 RAMBOW DR
MONROE MI
48161-3548
US

IV. Provider business mailing address

555 RAMBOW DR
MONROE MI
48161-3548
US

V. Phone/Fax

Practice location:
  • Phone: 734-240-1051
  • Fax: 734-240-1053
Mailing address:
  • Phone: 734-240-1051
  • Fax: 734-240-1053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number3501004363
License Number StateMI

VIII. Authorized Official

Name: GERALD M. MEYER JR.
Title or Position: OWNER
Credential:
Phone: 734-240-1051