Individual
OMALLAH BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1360 W STATE ST, ALLIANCE, OH 44601-3613
(330) 821-2012
(330) 823-4799
Mailing address
8800 SE SUNNYSIDE RD STE 300N, CLACKAMAS, OR 97015-5703
(281) 286-2999
(512) 607-4893
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
A-01176
OH
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
OH
237700000X
Hearing Instrument Specialist
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4287171
MEDICARE
OH
Enumeration date
06/09/2005
Last updated
01/15/2018
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