Individual
LEROY KULPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8443 WERMUTH, CENTER LINE, MI 48015-1747
(586) 945-5798
(586) 510-0607
Mailing address
8443 WERMUTH, CENTER LINE, MI 48015-1747
(586) 945-5798
(586) 510-0607
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
3501000572
MI
332S00000X
Hearing Aid Equipment
3501000572
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540E017390
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/20/2007
Last updated
09/29/2008
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