Healthcare Provider Details

I. General information

NPI: 1346527579
Provider Name (Legal Business Name): BEALL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11260 CHESTER RD. STE 425
CINCINNATI OH
45246
US

IV. Provider business mailing address

11260 CHESTER RD STE 425
CINCINNATI OH
45246
US

V. Phone/Fax

Practice location:
  • Phone: 513-772-2500
  • Fax: 513-326-7614
Mailing address:
  • Phone: 513-772-2500
  • Fax: 513-326-7614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number02067
License Number StateOH

VIII. Authorized Official

Name: DR. SCOTT BEALL
Title or Position: PRESIDENT
Credential: AUD, ACA, BC-HIS
Phone: 513-772-2500