# MUSKEGON HEARING & SPEECH CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104878503
- **Authorized official:** MR. ROGER SMITH MA-CCC-A (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (231) 737-0527

## Contact information

- **Practice address:** 1155 E. SHERMAN BLVD, MUSKEGON, MI 49444-1450
- **Practice address phone:** (231) 737-0527
- **Practice address fax:** (231) 733-4093
- **Mailing address:** 1155 E. SHERMAN BLVD, MUSKEGON, MI 49444-1450
- **Mailing address phone:** (231) 737-0527
- **Mailing address fax:** (231) 733-4093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | KS001083 | MI | — |
| 231H00000X | Audiologist | KS761379 | MI | Yes |
| 231H00000X | Audiologist | SB002162 | MI | — |
| 231H00000X | Audiologist | SB013583 | MI | — |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 06/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 540F110520 | BCBS HEARING AID GROUP | MI |
| 01 | — | 640F110510 | BCBC GROUP SERVICE | MI |
| 05 | — | 804678588 | — | MI |
| 05 | — | 902613459 | — | MI |