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GREAT LAKES PROVIDER NETWORK, LLC
NPI 1649710823
Audiologist in Clinton Township, MI

Active since March 07, 2017
33900 HARPER AVE STE A101, CLINTON TOWNSHIP, MI 48035(586) 359-2649(844) 522-5038 Get Directions Write a Review

NPPES record last updated: March 7, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Great Lakes Provider Network, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES PROVIDER NETWORK, LLC (NPI 1649710823) is a healthcare organization registered as an audiologist in Clinton Township, Michigan and active in the NPI registry since March 2017. The organization lists Colleen Shefferly, President, as its authorized official.

NPPES Registry Identity

NPI1649710823
Entity TypeOrganization
Primary Taxonomy231H00000X
Legal Business NameGREAT LAKES PROVIDER NETWORK, LLC
Location Address33900 HARPER AVE STE A101Clinton Township, MI 48035-4258
Mailing Address33900 Harper Ave Ste A101Clinton Township, MI 48035-4258 · (586) 359-2649 · Fax (844) 522-5038
Phone(586) 359-2649
Fax(844) 522-5038
Organization SubpartYesParent: Audionet America Holdings Inc
Authorized OfficialColleen ShefferlyPresident · (586) 944-0043
Enumeration DateMarch 7, 2017
✔ NPI 1649710823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
33900 HARPER AVE STE A101, Clinton Township, MI 48035
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Provider Network, LLC's NPI number?

The NPI number for Great Lakes Provider Network, LLC is 1649710823. It was assigned to this organization in the NPPES registry on March 7, 2017.

Where is Great Lakes Provider Network, LLC located?

Great Lakes Provider Network, LLC is located at 33900 Harper Ave Ste A101, Clinton Township, MI 48035. The listed phone number is (586) 359-2649.

What is Great Lakes Provider Network, LLC's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Provider Network, LLC was last updated on March 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.