Healthcare Provider Details

I. General information

NPI: 1588801864
Provider Name (Legal Business Name): TRINITY HEARING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2009
Last Update Date: 01/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 N MAIN ST
HICKSVILLE OH
43526-1118
US

IV. Provider business mailing address

119 N MAIN ST
HICKSVILLE OH
43526-1118
US

V. Phone/Fax

Practice location:
  • Phone: 419-542-8700
  • Fax: 419-542-8777
Mailing address:
  • Phone: 419-542-8700
  • Fax: 419-542-8777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number3881449
License Number StateOH

VIII. Authorized Official

Name: JULIE K BARTH
Title or Position: AUDIOLOGIST/OWNER
Credential: MA
Phone: 419-542-8700