MEDICARE: MRS. EMILY ANN PALMER B.S., NBC-HIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	02804	OH

General Provider Information

NPI Number	:	1326363847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMILY ANN PALMER B.S., NBC-HIS

Provider Business Mailing Address
First Line	:	36840 DETROIT RD
Second Line	:
City	:	AVON
State	:	OH
Zip	:	44011-1570
Country	:	US
Telephone Number	:	440-934-3240
Fax Number	:	440-934-3245

Provider Business Practice Location Address
First Line	:	36840 DETROIT RD
Second Line	:
City	:	AVON
State	:	OH
Zip	:	44011-1570
Country	:	US
Telephone Number	:	440-934-3240
Fax Number	:	440-934-3245

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2010
Last Update Date	:	03/29/2010

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