Provider Demographics
NPI:1710419841
Name:HEARING AID CENTER OF NORTHWEST OHIO, LLC
Entity Type:Organization
Organization Name:HEARING AID CENTER OF NORTHWEST OHIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:LESTER
Authorized Official - Last Name:HAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-335-3277
Mailing Address - Street 1:1075 N SHOOP AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:WAUSEON
Mailing Address - State:OH
Mailing Address - Zip Code:43567-1856
Mailing Address - Country:US
Mailing Address - Phone:419-335-3277
Mailing Address - Fax:419-335-0149
Practice Address - Street 1:1075 N SHOOP AVE STE 5
Practice Address - Street 2:
Practice Address - City:WAUSEON
Practice Address - State:OH
Practice Address - Zip Code:43567-1856
Practice Address - Country:US
Practice Address - Phone:419-335-3277
Practice Address - Fax:419-335-0149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02283332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies