Bruce Charette

Individual provider Active NPI Hearing Instrument Specialist · Riverview, MI

NPI 1376966671 · NPPES record last updated Jan 23, 2014

Key facts

NPI
1376966671
Entity type
Individual (NPI type 1)
Primary specialty
Hearing Instrument Specialist 237700000X
License
3501004853 (MI)
Practice address
17425 Fort St
Riverview, MI 48193-6630
Phone
(734) 285-1669
Fax
(734) 285-5368
NPI assigned
Jan 23, 2014
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3501004853MIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Hearing Instruments Hearing Instrument Specialist Past Accepting new patients
Advanced Hearing Instruments Hearing Instrument Specialist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 3501004853 MI Yes

Addresses

Primary practice location

17425 Fort St
Riverview, MI 48193-6630

Mailing address

17425 Fort St
Riverview, MI 48193-6630
Phone (734) 285-1669

Other providers in Riverview, MI

All providers in Riverview, MI · Hearing Instrument Specialist in Michigan

Sources for this page

Verify at the official NPI Registry.