FAIRBORN HEARING AID CENTER NPI 1174712772

NPI Information

NPI: 1174712772
Provider Name: FAIRBORN HEARING AID CENTER
Classification: Hearing Aid Equipment - 332S00000X
Entity Type: Organization
Address:
331 N BROAD ST
FAIRBORN, OH
ZIP 45324
Phone: (937) 879-1842
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FAIRBORN HEARING AID CENTER is a hearing aid equipment in Fairborn, OH. The provider is the manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. FAIRBORN HEARING AID CENTER NPI is 1174712772. The provider is registered as an organization entity type.

The provider's business location address is:

331 N BROAD ST
FAIRBORN, OH
ZIP 45324-934
Phone: (937) 879-1842

The provider's authorized official is Clyde L Redd .
The authorized official title is Owner and has the following contact phone number (937) 879-1842.

The enumeration date for this NPI number is 10/18/2007 and was last updated on 10/18/2007.

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
1	332S00000X	Hearing Aid Equipment		1918	OHIO	Yes

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
1	0887063	MEDICAID	OHIO

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: 4/28/2024

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