Innovative Hearing Services, Inc.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

3501002743 Issued in MI

Legal business name

INNOVATIVE HEARING SERVICES, INC.

Practice address

2766 W 11 Mile Rd
Suite 8
Berkley, MI 48072-3033

Phone

(248) 544-0560

Fax

(248) 544-7480

NPI assigned

Mar 18, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Cindy Bazell Wilson, M.A. CCC-A/FAAA

Title

Audiologist

Phone

(248) 544-0560

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1114198157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 W 11 MILE RD",
            "address_2": "SUITE 8",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723033",
            "telephone_number": "248-544-0560",
            "fax_number": "248-544-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 W 11 MILE RD",
            "address_2": "SUITE 8",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723033",
            "telephone_number": "248-544-0560",
            "fax_number": "248-544-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEARING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "BAZELL",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "248-544-0560",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. CCC-A/FAAA"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000293",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "3501002743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist-Hearing Aid Fitter in Berkley, MI
• Providers in Berkley, MI by specialty
• Audiologist-Hearing Aid Fitter in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.