Provider Demographics
NPI:1548762198
Name:ADVANCED EARGEAR
Entity Type:Organization
Organization Name:ADVANCED EARGEAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/HIS
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALATKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-785-0800
Mailing Address - Street 1:2828 S ARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-4726
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2828 S ARLINGTON RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-4726
Practice Address - Country:US
Practice Address - Phone:330-785-0800
Practice Address - Fax:330-785-0802
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED EARGEAR
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-28
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty