Organization
HEARING SERVICES OF BAD AXE
Active
Other names
Hearing Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LOUISE KGLIN MA CC-A (DIRECTOR)
(989) 269-4327
Entity
Organization
Contact information
Practice address
1252 SAND BEACH RD, BAD AXE, MI 48413-8817
(989) 269-4327
(989) 269-2251
Mailing address
1252 SAND BEACH RD, BAD AXE, MI 48413-8817
(989) 269-4327
(989) 269-2251
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
MI
237600000X
Audiologist-Hearing Aid Fitter
—
MI
237700000X
Hearing Instrument Specialist
Primary
3501001531
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124005
GREAT LAKES MEDICAID
MI
01
—
540C20269
BCBS DISPENSING
MI
01
—
640C22601
BCBA TESTING
MI
Enumeration date
11/25/2006
Last updated
09/11/2025
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