Organization
HEARING SERVICES OF BAD AXE
Active
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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