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Organization
PROFESSIONAL HEARING SERVICES, LTD
Active
Organization
PROFESSIONAL HEARING SERVICES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ANN RICE (A/R MANAGER)
(269) 982-3444
Entity
Organization
Contact information
Practice address
511 RENAISSANCE DR, STE 100, SAINT JOSEPH, MI 49085-2180
(269) 982-3444
(269) 982-3445
Mailing address
511 RENAISSANCE DR, STE 100, SAINT JOSEPH, MI 49085-2180
(269) 982-3444
(269) 982-3445
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A12603
MEDICARE ADVANTAGE BCBS
MI
01
—
640A126030
BLUE CROSS BLUE SHIELD MI
—
Enumeration date
05/03/2006
Last updated
04/12/2023
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