Healthcare Provider Details

I. General information

NPI: 1124327952
Provider Name (Legal Business Name): AMERICAN HEARING CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2011
Last Update Date: 03/25/2020
Certification Date: 03/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 PARK ST STE 106
NORTON SHORES MI
49444-3736
US

IV. Provider business mailing address

3535 PARK ST STE 106
NORTON SHORES MI
49444-3736
US

V. Phone/Fax

Practice location:
  • Phone: 231-737-4570
  • Fax: 231-737-4598
Mailing address:
  • Phone: 231-737-4570
  • Fax: 231-737-4598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: MRS. JEAN M. GALLAGHER
Title or Position: OWNER/MEMBER
Credential:
Phone: 231-737-4570