Provider Demographics
NPI:1740294248
Name:STRAUB, JOSEPH C SR (HEARING AID SPECIALI)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:C
Last Name:STRAUB
Suffix:SR
Gender:M
Credentials:HEARING AID SPECIALI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 S RICHARD ST
Mailing Address - Street 2:BOX 92
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522
Mailing Address - Country:US
Mailing Address - Phone:814-623-2743
Mailing Address - Fax:814-623-7948
Practice Address - Street 1:133 S RICHARD ST
Practice Address - Street 2:BOX 92
Practice Address - City:BEDFORD
Practice Address - State:PA
Practice Address - Zip Code:15522
Practice Address - Country:US
Practice Address - Phone:814-623-2743
Practice Address - Fax:814-623-7948
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF02481237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA208534OtherPA BLUE SHIELD