Healthcare Provider Details
I. General information
NPI: 1255521605
Provider Name (Legal Business Name): EAR MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2007
Last Update Date: 07/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6527 COLERAIN AVE
CINCINNATI OH
45239-5537
US
IV. Provider business mailing address
6527 COLERAIN AVE
CINCINNATI OH
45239-5537
US
V. Phone/Fax
- Phone: 513-385-5000
- Fax: 513-245-5462
- Phone: 513-385-5000
- Fax: 513-245-5462
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207YX0901X |
| Taxonomy | Otology & Neurotology Physician |
| License Number | 35-031279 |
| License Number State | OH |
VIII. Authorized Official
Name: DR.
CLAUDE
PIERRE
HOBEIKA
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 513-385-5000