Organization
HAC HEARING AID CENTERS OF AMERICA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY D LAWRENCE (MANAGING DIRECTOR)
(317) 243-2888
Entity
Organization
Contact information
Practice address
1350 W CENTRE AVE, SUITE 105, PORTAGE, MI 49024-5361
(269) 324-0301
(269) 324-2733
Mailing address
1350 W CENTRE AVE, SUITE 105, PORTAGE, MI 49024-5361
(269) 324-0301
(269) 324-2733
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
237700000X
Hearing Instrument Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540C90317
BCBS
—
05
—
871870943
—
MI
05
—
902004116
—
MI
Enumeration date
10/25/2006
Last updated
07/10/2013
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