Organization
HEARING SERVICES OF BAD AXE
Active
Other names
Hearing Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LOUISE KOGLIN MA CCC-A (DIRECTOR)
(989) 269-4327
Entity
Organization
Contact information
Practice address
85 W ARGYLE ST, SANDUSKY, MI 48471-1001
(810) 648-4565
(989) 269-2251
Mailing address
1252 SAND BEACH RD, BAD AXE, MI 48413
(989) 269-4327
(989) 269-2251
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
1601000077
MI
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
MI
237700000X
Hearing Instrument Specialist
3501001531
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124005
GREAT LAKES MEDICAID
MI
01
—
540C20269
BCBS DISPENSING
MI
01
—
640C22601
BCBS TESTING
MI
Enumeration date
12/15/2006
Last updated
09/11/2025
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