Organization
AUDIO VESTIBULAR ASSESSMENT, INC
Active
Other names
AVA Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN ANN JACOBS AUD (OWNER/PRESIDENT)
(616) 365-1979
Entity
Organization
Contact information
Practice address
5344 PLAINFIELD AVE NE, SUITE 4, GRAND RAPIDS, MI 49525-1009
(616) 365-1979
(616) 365-1964
Mailing address
5344 PLAINFIELD AVE NE, SUITE 4, GRAND RAPIDS, MI 49525-1009
(616) 365-1979
(616) 365-1964
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
KJ000001
MI
261QH0700X
Hearing and Speech Clinic/Center
KJ000001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804687934
—
MI
05
—
903499018
—
MI
Enumeration date
11/17/2009
Last updated
03/07/2012
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