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Contact Information

ADVANCED AUDIOLOGY, LLC
12775 ESCANABA DR
SUITE 3
DEWITT, MI48820-8615
 Phone: 517-669-8080
 Fax: 517-669-8070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist-Hearing Aid Fitter

237600000X
Indicates primary specialty

NPI Profile & details for ADVANCED AUDIOLOGY, LLC

NPI # 1235303538
LBN Legal business name ADVANCED AUDIOLOGY, LLC
Authorized official LINDA WRIGHT - (AUDIOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2008
Last updated 06/21/2018 - About 8 years ago
Identifiers
MI License # 1601000153
MI Medicaid 80-4678229
MI Medicaid 90-4658208
Other 200000000483 PHYSICIANS HEALTH PLAN MM
MI Other 54OA900140 BLUE CROSS BLUE SHIELD MI
MI Other 64OA900130 BLUE CROSS BLUE SHIELD MI
MI Other 1007674 MCLAREN HEALTH ADVANTAGE
MI Other 1007674 MCLAREN HEALTH PLAN
MI Other 1932141983 NPI, TYPE 1
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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