| |
35104 Euclid Avenue, #102, Willoughby, OH 44094-4565 | |
(440) 946-0260 | |
(440) 946-4010 |
Full Name | |
---|---|
Type | Facility |
Speciality | Hearing Instrument Specialist |
Location | 35104 Euclid Avenue, Willoughby, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780647271 | NPI | - | NPPES |
D703699 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | A0720 (Ohio) | Primary |
237700000X | Hearing Instrument Specialist | 7655 (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
35104 Euclid Ave, #102, Willoughby, OH 44094-4565 Ph: (440) 946-0260 | 35104 Euclid Avenue, #102, Willoughby, OH 44094-4565 Ph: (440) 946-0260 |