Healthcare Provider Details

I. General information

NPI: 1851327407
Provider Name (Legal Business Name): GHERIAN AUDIOLOGY LIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 05/20/2022
Certification Date: 05/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 W MAPLE ST
NORTH CANTON OH
44720-2716
US

IV. Provider business mailing address

220 W MAPLE ST
NORTH CANTON OH
44720-2716
US

V. Phone/Fax

Practice location:
  • Phone: 234-347-0155
  • Fax: 234-347-0157
Mailing address:
  • Phone: 234-347-0155
  • Fax: 234-347-0157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number02771
License Number StateOH

VIII. Authorized Official

Name: DR. JUSTIN GHERIAN
Title or Position: PRESIDENT
Credential: AUD
Phone: 234-347-0155