Provider Demographics
NPI:1447440102
Name:AMERICAN HEARING CENTERS, INC.
Entity type:Organization
Organization Name:AMERICAN HEARING CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDILOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:ALEXANDRA
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC/A
Authorized Official - Phone:440-942-9480
Mailing Address - Street 1:2604 W PROSPECT RD
Mailing Address - Street 2:
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004-6334
Mailing Address - Country:US
Mailing Address - Phone:440-992-0060
Mailing Address - Fax:440-992-0979
Practice Address - Street 1:2604 W PROSPECT RD
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-6334
Practice Address - Country:US
Practice Address - Phone:440-992-0060
Practice Address - Fax:440-992-0979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01478332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9362201Medicare PIN