ADVANCED AUDIOLOGY HEARING SERVICES INC NPI 1013183656

NPI Information

  • NPI: 1013183656
  • Provider Name: ADVANCED AUDIOLOGY HEARING SERVICES, INC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1815 BRETON RD SE
    GRAND RAPIDS, MI
    ZIP 49506
  • Phone: (616) 977-0379

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NPI Details

ADVANCED AUDIOLOGY HEARING SERVICES, INC is a specialist in Grand Rapids, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ADVANCED AUDIOLOGY HEARING SERVICES, INC NPI is 1013183656. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1815 BRETON RD SE
GRAND RAPIDS, MI
ZIP 49506-800
Phone: (616) 977-0379
Fax: (616) 977-0379

The provider's authorized official is Bruce Alan Bylsma .
The authorized official title is President/doctor Of Audiology and has the following contact phone number (616) 977-0379.

The enumeration date for this NPI number is 5/4/2008 and was last updated on 5/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist3501002046MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1902637236MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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