Provider Demographics
NPI:1366651689
Name:SOUTHEASTERN OHIO HEARING AID CENTER, LTD
Entity Type:Organization
Organization Name:SOUTHEASTERN OHIO HEARING AID CENTER, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING AID CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:STUART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-450-2355
Mailing Address - Street 1:2945 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-1762
Mailing Address - Country:US
Mailing Address - Phone:740-450-2355
Mailing Address - Fax:740-454-6321
Practice Address - Street 1:2945 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-1762
Practice Address - Country:US
Practice Address - Phone:740-450-2355
Practice Address - Fax:740-454-6321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH00482261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech