MEDICARE: ANGELA D MCGLUMPHY

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	02955	OH

General Provider Information

NPI Number	:	1407410640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA D MCGLUMPHY

Provider Business Mailing Address
First Line	:	6854 PROMWAY AVE NW STE 102
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-7302
Country	:	US
Telephone Number	:	330-826-1222
Fax Number	:

Provider Business Practice Location Address
First Line	:	6854 PROMWAY AVE NW STE 102
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-7302
Country	:	US
Telephone Number	:	330-826-1222
Fax Number	:

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

Provider Enumeration Date	:	04/23/2019
Last Update Date	:	04/23/2019

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Directions to “ ANGELA D MCGLUMPHY ” Practice Location

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