Andrew C Etter, MS, BC-HIS, ACA

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

3501005097 Issued in MI

Practice address

1060 W Silverbell Rd
Lake Orion, MI 48359-1327

Phone

(248) 620-3525

Fax

(248) 620-3545

NPI assigned

Feb 25, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michigan Hearing, LLC

  • Hearing Instrument Specialist
  • Lake Orion, MI
  • NPI 1366877979
  NPD (past)

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1134469497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 W SILVERBELL RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483591327",
            "telephone_number": "248-620-3525",
            "fax_number": "248-620-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W SILVERBELL RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483591327",
            "telephone_number": "248-620-3525",
            "fax_number": "248-620-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTER",
        "first_name": "ANDREW",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MS, BC-HIS, ACA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-25",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501005097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Instrument Specialist in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Hearing Instrument Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.