Provider Demographics
NPI:1033713870
Name:DR TATRO AUDIOLOGY SERVICES LLC
Entity Type:Organization
Organization Name:DR TATRO AUDIOLOGY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:TATRO
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:440-865-0636
Mailing Address - Street 1:325 NANCY CIR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-1452
Mailing Address - Country:US
Mailing Address - Phone:440-865-0636
Mailing Address - Fax:
Practice Address - Street 1:325 NANCY CIR
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-1452
Practice Address - Country:US
Practice Address - Phone:440-865-0636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty