Healthcare Provider Details

I. General information

NPI: 1114274115
Provider Name (Legal Business Name): AUDIOLOGY & HEARING SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2012
Last Update Date: 08/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1649 BRICE RD SUITE C
REYNOLDSBURG OH
43068-2758
US

IV. Provider business mailing address

1649 BRICE ROAD SUITE C
REYNOLDSBURG OH
43068-2796
US

V. Phone/Fax

Practice location:
  • Phone: 614-501-4327
  • Fax:
Mailing address:
  • Phone: 614-501-4327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number03056
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number03056
License Number StateOH

VIII. Authorized Official

Name: MR. STEVEN BRIAN CAMPBELL
Title or Position: PRESIDENT
Credential: NCB-HIS
Phone: 614-501-7327