Provider Demographics
NPI:1770868036
Name:MODERN HEARING SOLUTIONS OF CANTON INC.
Entity Type:Organization
Organization Name:MODERN HEARING SOLUTIONS OF CANTON INC.
Other - Org Name:CHOICE HEARING CENTER
Other - Org Type:Other Name
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:330-493-3403
Practice Address - Street 1:4072 MUNSON ST. NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718
Practice Address - Country:US
Practice Address - Phone:330-493-3400
Practice Address - Fax:330-493-3403
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEARING CENTER MANAGEMENT COMPANY, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-19
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X
OH02190332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Multi-Specialty