Healthcare Provider Details

I. General information

NPI: 1700914108
Provider Name (Legal Business Name): ANN L COLA-SCHUH AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 12/29/2020
Certification Date: 12/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 RICHLAND MALL
ONTARIO OH
44906-3802
US

IV. Provider business mailing address

700 N COLUMBUS ST
CRESTLINE OH
44827-1455
US

V. Phone/Fax

Practice location:
  • Phone: 419-775-1091
  • Fax:
Mailing address:
  • Phone: 419-468-0522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA-00607
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: