Provider Demographics
NPI:1780647271
Name:JOYCE B FRIED
Entity Type:Organization
Organization Name:JOYCE B FRIED
Other - Org Name:BELTONE HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:B
Authorized Official - Last Name:FRIED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-946-0260
Mailing Address - Street 1:35104 EUCLID AVE
Mailing Address - Street 2:#102
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-4565
Mailing Address - Country:US
Mailing Address - Phone:440-946-0260
Mailing Address - Fax:440-946-4010
Practice Address - Street 1:35104 EUCLID AVENUE
Practice Address - Street 2:#102
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-4565
Practice Address - Country:US
Practice Address - Phone:440-946-0260
Practice Address - Fax:440-946-4010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA0720231H00000X
OH7655237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHD703699Medicaid