Provider Demographics
NPI:1114273521
Name:ADVANCED EARGEAR
Entity Type:Organization
Organization Name:ADVANCED EARGEAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:H
Authorized Official - Last Name:VALATKA
Authorized Official - Suffix:
Authorized Official - Credentials:HIS, ACA
Authorized Official - Phone:330-785-0800
Mailing Address - Street 1:2315 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-3600
Mailing Address - Country:US
Mailing Address - Phone:330-785-0800
Mailing Address - Fax:330-785-0802
Practice Address - Street 1:2315 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44314-3600
Practice Address - Country:US
Practice Address - Phone:330-785-0800
Practice Address - Fax:330-785-0802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment