MEDICARE: NINA MICHELLE SIRCH BC-HIS

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	03288	OH

General Provider Information

NPI Number	:	1730977265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NINA MICHELLE SIRCH BC-HIS

Provider Business Mailing Address
First Line	:	1930 PRIME CT STE 104
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-9045
Country	:	US
Telephone Number	:	937-832-3582
Fax Number	:

Provider Business Practice Location Address
First Line	:	1930 PRIME CT STE 104
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-9045
Country	:	US
Telephone Number	:	937-832-3582
Fax Number	:

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

Provider Enumeration Date	:	04/25/2025
Last Update Date	:	04/25/2025

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Directions to “ NINA MICHELLE SIRCH BC-HIS” Practice Location

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