Provider Demographics
NPI:1619341484
Name:MODERN HEARING SOLUTIONS OF WADSWORTH, INC.
Entity Type:Organization
Organization Name:MODERN HEARING SOLUTIONS OF WADSWORTH, INC.
Other - Org Name:MODERN HEARING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOUNTS
Authorized Official - Suffix:
Authorized Official - Credentials:LHIS
Authorized Official - Phone:330-493-3400
Mailing Address - Street 1:4072 MUNSON ST. NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718
Mailing Address - Country:US
Mailing Address - Phone:330-493-3400
Mailing Address - Fax:330-334-4546
Practice Address - Street 1:1197 HIGH ST. NW, SUITE 100
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281
Practice Address - Country:US
Practice Address - Phone:330-334-4545
Practice Address - Fax:330-334-4546
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEARING CENTER MANAGEMENT COMPANY, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-17
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X
OH332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Multi-Specialty