Healthcare Provider Details

I. General information

NPI: 1336216167
Provider Name (Legal Business Name): RJ GANDEE & CO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 ELLEN KAY DR SUITE G
MARION OH
73302
US

IV. Provider business mailing address

787 LEXINGTON AVE
MANSFIELD OH
44907
US

V. Phone/Fax

Practice location:
  • Phone: 740-383-5703
  • Fax: 741-383-5703
Mailing address:
  • Phone: 419-756-4283
  • Fax: 417-756-6988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT J GANDEE
Title or Position: PRESIDENT
Credential:
Phone: 419-756-4283