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NPI Code Detail

MEDICARE: MS. D EVELYN JONES LICENSED HEARING AID

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
1237600000XAudiologist-Hearing Aid Fitter2198OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID 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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