Healthcare Provider Details

I. General information

NPI: 1740294248
Provider Name (Legal Business Name): JOSEPH C STRAUB SR. HEARING AID SPECIALI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 10/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 S RICHARD ST BOX 92
BEDFORD PA
15522
US

IV. Provider business mailing address

133 S RICHARD ST BOX 92
BEDFORD PA
15522
US

V. Phone/Fax

Practice location:
  • Phone: 814-623-2743
  • Fax: 814-623-7948
Mailing address:
  • Phone: 814-623-2743
  • Fax: 814-623-7948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberF02481
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: