Healthcare Provider Details

I. General information

NPI: 1013626704
Provider Name (Legal Business Name): SARAH BEALL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2022
Last Update Date: 11/21/2022
Certification Date: 11/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11260 CHESTER RD STE 425
CINCINNATI OH
45246-4040
US

IV. Provider business mailing address

11260 CHESTER RD STE 425
CINCINNATI OH
45246-4040
US

V. Phone/Fax

Practice location:
  • Phone: 513-772-2500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberIL.3350
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: