MEDICARE: MS. D EVELYN JONES LICENSED HEARING AID

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	237600000X	Audiologist-Hearing Aid Fitter	2198	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972710531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. D EVELYN JONES LICENSED HEARING AID

Provider Business Mailing Address
First Line	:	2412 WEST STATE ST
Second Line	:
City	:	ALLIANCE
State	:	OH
Zip	:	44601
Country	:	US
Telephone Number	:	330-821-3277
Fax Number	:	330-821-7760

Provider Business Practice Location Address
First Line	:	2412 WEST STATE ST
Second Line	:
City	:	ALLIANCE
State	:	OH
Zip	:	44601
Country	:	US
Telephone Number	:	330-821-3277
Fax Number	:	330-821-7760

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

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	07/09/2007

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Directions to “ MS. D EVELYN JONES LICENSED HEARING AID” Practice Location

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