Provider Demographics
NPI:1952840969
Name:NORTHEAST OHIO HEARING CENTER
Entity Type:Organization
Organization Name:NORTHEAST OHIO HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:STUDEBAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-250-9830
Mailing Address - Street 1:26777 LORAIN RD
Mailing Address - Street 2:STE 503
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-3200
Mailing Address - Country:US
Mailing Address - Phone:440-250-9830
Mailing Address - Fax:
Practice Address - Street 1:26777 LORAIN RD
Practice Address - Street 2:STE 503
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-3200
Practice Address - Country:US
Practice Address - Phone:440-250-9830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-23
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment