Healthcare Provider Details

I. General information

NPI: 1700250552
Provider Name (Legal Business Name): EAR CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2015
Last Update Date: 11/14/2023
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26501 HOOVER RD
WARREN MI
48089-1159
US

IV. Provider business mailing address

2421 MONROE ST SUITE 202
DEARBORN MI
48124-3043
US

V. Phone/Fax

Practice location:
  • Phone: 586-754-2230
  • Fax: 586-754-0074
Mailing address:
  • Phone: 313-562-4485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number3501004912
License Number StateMI

VIII. Authorized Official

Name: KELLY ANN ZILLI
Title or Position: OWNER
Credential: AUD
Phone: 313-562-4485