MEDICARE: SUPERIOR HEARING SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	3501005102	MI

General Provider Information

NPI Number	:	1295145043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPERIOR HEARING SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	17575 US 223
Second Line	:	SUITE A
City	:	CEMENT CITY
State	:	MI
Zip	:	49233
Country	:	US
Telephone Number	:	517-547-6863
Fax Number	:	517-547-6863

Provider Business Practice Location Address
First Line	:	17575 US 223
Second Line	:	SUITE A
City	:	CEMENT CITY
State	:	MI
Zip	:	49233
Country	:	US
Telephone Number	:	517-547-6863
Fax Number	:	517-547-6863

Authorized Official
Title or Position	:	HEARING INSTRUMENT SPECIALIST/OWNER
Name	:	THOMAS NAWROT
Credential	:	HIS
Telephone Number	:	517-547-6863

Provider Enumeration Date	:	05/02/2014
Last Update Date	:	05/02/2014

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