MEDICARE: SIGNACARE HEARING ALLIANCE

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	17001265A	IN

General Provider Information

NPI Number	:	1912242074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGNACARE HEARING ALLIANCE

Provider Business Mailing Address
First Line	:	5122 HEATHERDOWNS BLVD STE 1
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2118
Country	:	US
Telephone Number	:	419-725-2148
Fax Number	:	419-725-2150

Provider Business Practice Location Address
First Line	:	5122 HEATHERDOWNS BLVD STE 1
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2118
Country	:	US
Telephone Number	:	419-725-2148
Fax Number	:	419-725-2150

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	KRISTINA ADKINS
Credential	:
Telephone Number	:	419-725-2148

Provider Enumeration Date	:	11/30/2012
Last Update Date	:	11/30/2012

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