Organization
VERSATILE HEARING SERVICE
Active
Organization
VERSATILE HEARING SERVICE
Active
Other names
Beltone Hearing Aid Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN MARIE WAITE NBC-HIS (OWNER, PRESIDENT)
(517) 788-7677
Entity
Organization
Contact information
Practice address
2404 WILDWOOD AVE, JACKSON, MI 49202-3927
(517) 788-7677
(517) 788-7679
Mailing address
2404 WILDWOOD AVE, JACKSON, MI 49202-3927
(517) 788-7677
(517) 788-7679
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
3501002419
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540C802820
BCBSM PIN NUMBER
MI
05
—
903257607
—
MI
05
—
905258069
—
MI
Enumeration date
03/15/2006
Last updated
06/13/2008
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