=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427168459
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DONALD F TRIZZINO BCHIS
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/31/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 617 WABASH AVE NW
-----------------------------------------------------
City | NEW PHILADELPHIA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44663-4145
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-364-6637
-----------------------------------------------------
Fax | 330-364-4343
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 617 WABASH AVE NW
-----------------------------------------------------
City | NEW PHILADELPHIA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44663-4145
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-364-6637
-----------------------------------------------------
Fax | 330-364-4343
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 237700000X
-----------------------------------------------------
Taxonomy Name | Hearing Instrument Specialist
-----------------------------------------------------
License Number | 587
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------