Provider Demographics
NPI:1073698353
Name:HAMILTON HEARING AID, INC.
Entity Type:Organization
Organization Name:HAMILTON HEARING AID, INC.
Other - Org Name:HAMILTON HEARING AID & AUDIOLOGIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:BUBNICK
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC/A
Authorized Official - Phone:513-863-3264
Mailing Address - Street 1:402 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-4717
Mailing Address - Country:US
Mailing Address - Phone:513-863-3264
Mailing Address - Fax:
Practice Address - Street 1:402 MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-4717
Practice Address - Country:US
Practice Address - Phone:513-863-3264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02364332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2000944Medicaid
OH2000944Medicaid