MEDICARE: AUDIPHONE CO OF PARMA INC

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	332S00000X	Hearing Aid Equipment

General Provider Information

NPI Number	:	1871625053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUDIPHONE CO OF PARMA INC

Provider Business Mailing Address
First Line	:	6363 YORK RD
Second Line	:	SUITE 102
City	:	PARMA HTS
State	:	OH
Zip	:	44130
Country	:	US
Telephone Number	:	440-888-5445
Fax Number	:	440-888-4185

Provider Business Practice Location Address
First Line	:	6363 YORK RD
Second Line	:	SUITE 102
City	:	PARMA HTS
State	:	OH
Zip	:	44130
Country	:	US
Telephone Number	:	440-888-5445
Fax Number	:	440-888-4185

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. JANE M MACKALL
Credential	:	MA CCC A
Telephone Number	:	440-888-5445

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	08/22/2020

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