Provider Demographics
NPI:1912242074
Name:SIGNACARE HEARING ALLIANCE
Entity Type:Organization
Organization Name:SIGNACARE HEARING ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-725-2148
Mailing Address - Street 1:5122 HEATHERDOWNS BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2118
Mailing Address - Country:US
Mailing Address - Phone:419-725-2148
Mailing Address - Fax:419-725-2150
Practice Address - Street 1:5122 HEATHERDOWNS BLVD STE 1
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-2118
Practice Address - Country:US
Practice Address - Phone:419-725-2148
Practice Address - Fax:419-725-2150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001265A332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment