Healthcare Provider Details
I. General information
NPI: 1528458551
Provider Name (Legal Business Name): TRI-STATE HEARING ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/29/2015
Last Update Date: 01/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5177 N BEND RD STE 1
CINCINNATI OH
45211-1900
US
IV. Provider business mailing address
5177 N BEND RD STE 1
CINCINNATI OH
45211-1900
US
V. Phone/Fax
- Phone: 513-389-0731
- Fax:
- Phone: 513-389-0731
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
N
HOLLAND
Title or Position: OWNER
Credential: AUD
Phone: 513-389-0731