Provider Demographics
NPI:1437495124
Name:CINCINNATI HEARING AND TINNITUS
Entity Type:Organization
Organization Name:CINCINNATI HEARING AND TINNITUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARLO
Authorized Official - Middle Name:BAILEY
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:513-675-8595
Mailing Address - Street 1:9723 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-7207
Mailing Address - Country:US
Mailing Address - Phone:513-675-8595
Mailing Address - Fax:513-793-9576
Practice Address - Street 1:9723 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-7207
Practice Address - Country:US
Practice Address - Phone:513-675-8595
Practice Address - Fax:513-793-9576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-27
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA01360332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9383031Medicare Oscar/Certification