Healthcare Provider Details

I. General information

NPI: 1124211198
Provider Name (Legal Business Name): PIONEER HEARING AID CENTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2007
Last Update Date: 08/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 PIKE STREET SUITE E
MARIETTA OH
45750
US

IV. Provider business mailing address

450 PIKE STREET SUITE E
MARIETTA OH
45750
US

V. Phone/Fax

Practice location:
  • Phone: 740-376-9980
  • Fax: 740-376-9981
Mailing address:
  • Phone: 740-376-9980
  • Fax: 740-376-9981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number2832
License Number StateOH

VIII. Authorized Official

Name: ANDREW STOUT BECKER
Title or Position: OWNER/CEO
Credential:
Phone: 740-376-9980