Provider Demographics
NPI:1134269624
Name:BELLEOBER INC
Entity type:Organization
Organization Name:BELLEOBER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:M
Authorized Official - Last Name:OBER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:330-869-9911
Mailing Address - Street 1:3200 W MARKET ST STE 108
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3324
Mailing Address - Country:US
Mailing Address - Phone:330-869-9911
Mailing Address - Fax:330-869-9780
Practice Address - Street 1:3200 W MARKET ST STE 108
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3324
Practice Address - Country:US
Practice Address - Phone:330-869-9911
Practice Address - Fax:330-869-9780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA0119231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHBE926331Medicare ID - Type UnspecifiedGROUP
OHOB4023211Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL