Healthcare Provider Details

I. General information

NPI: 1568624971
Provider Name (Legal Business Name): SHERBIN BUSINESS SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13355 E 10 MILE RD SUITE 210
WARREN MI
48089-2048
US

IV. Provider business mailing address

309 N GRATIOT AVE
MOUNT CLEMENS MI
48043-5748
US

V. Phone/Fax

Practice location:
  • Phone: 586-758-5051
  • Fax: 586-758-4423
Mailing address:
  • Phone: 586-463-5831
  • Fax: 586-463-4742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number3501001297
License Number StateMI

VIII. Authorized Official

Name: ANNE SHERBIN
Title or Position: HEARING AID DEALER
Credential:
Phone: 586-463-5831