MEDICARE: CHRISTOPHER BLAINE BUNTING H.A.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	IL.03503	OH

General Provider Information

NPI Number	:	1184482184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER BLAINE BUNTING H.A.S

Provider Business Mailing Address
First Line	:	2828 S ARLINGTON RD
Second Line	:
City	:	COVENTRY TOWNSHIP
State	:	OH
Zip	:	44312-4726
Country	:	US
Telephone Number	:	330-785-0800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2828 S ARLINGTON RD
Second Line	:
City	:	COVENTRY TOWNSHIP
State	:	OH
Zip	:	44312-4726
Country	:	US
Telephone Number	:	330-785-0800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2024
Last Update Date	:	03/13/2024

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