Healthcare Provider Details

I. General information

NPI: 1114264330
Provider Name (Legal Business Name): MARIEMONT HEARING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2013
Last Update Date: 05/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6860 WOOSTER PIKE
CINCINNATI OH
45227-4306
US

IV. Provider business mailing address

6860 WOOSTER PIKE
CINCINNATI OH
45227-4306
US

V. Phone/Fax

Practice location:
  • Phone: 513-271-7778
  • Fax: 513-271-7789
Mailing address:
  • Phone: 513-271-7778
  • Fax: 513-271-7789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number00641
License Number StateOH

VIII. Authorized Official

Name: CYNTHIA WHITEHURST
Title or Position: OWNER
Credential:
Phone: 513-271-7778