MEDICARE: FNM ENTERPRISES, INC.

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	332S00000X	Hearing Aid Equipment	02230087	OH

General Provider Information

NPI Number	:	1689085581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FNM ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	6531 TORINGTON DR
Second Line	:
City	:	MEDINA
State	:	OH
Zip	:	44256-6565
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4822 EVERHARD RD NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-2413
Country	:	US
Telephone Number	:	234-401-9248
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. FRANK RICHARD GRAZIANO
Credential	:
Telephone Number	:	330-461-3132

Provider Enumeration Date	:	05/13/2014
Last Update Date	:	05/13/2014

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