Organization
PROFESSIONAL HEARING CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDY CHAFFINS MACCC-A (PRESIDENT)
(248) 693-2600
Entity
Organization
Contact information
Practice address
436 S BROADWAY ST, SUITE D, LAKE ORION, MI 48362-2792
(248) 693-2600
(248) 693-2602
Mailing address
436 S BROADWAY ST, SUITE D, LAKE ORION, MI 48362-2792
(248) 693-2600
(248) 693-2602
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000033
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114942984
—
MI
Enumeration date
09/02/2009
Last updated
09/02/2009
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