Provider Demographics
NPI:1639377567
Name:HEARING & BALANCE CENTER, INC.
Entity Type:Organization
Organization Name:HEARING & BALANCE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:NADLER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:419-222-9010
Mailing Address - Street 1:545 W MARKET ST
Mailing Address - Street 2:SUITE 333
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-4717
Mailing Address - Country:US
Mailing Address - Phone:419-222-9010
Mailing Address - Fax:419-222-5496
Practice Address - Street 1:545 W MARKET ST
Practice Address - Street 2:SUITE 333
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-4717
Practice Address - Country:US
Practice Address - Phone:419-222-9010
Practice Address - Fax:419-222-5496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA-00653231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9342391Medicare ID - Type Unspecified