Provider Demographics
NPI:1013198571
Name:NEURO-COMMUNICATION SERVICES, INC
Entity Type:Organization
Organization Name:NEURO-COMMUNICATION SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:N
Authorized Official - Last Name:HAGBERG
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:330-726-8155
Mailing Address - Street 1:755 BOARDMAN CANFIELD RD
Mailing Address - Street 2:SOUTH BRIDGE WEST, C1
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4300
Mailing Address - Country:US
Mailing Address - Phone:330-726-8155
Mailing Address - Fax:330-726-8612
Practice Address - Street 1:755 BOARDMAN CANFIELD RD
Practice Address - Street 2:SOUTH BRIDGE WEST, C1
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-4300
Practice Address - Country:US
Practice Address - Phone:330-726-8155
Practice Address - Fax:330-726-8612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-26
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA00139261QH0700X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0516301Medicaid
OH000000130783OtherANTHEM
OHNE9263821Medicare UPIN