Individual
JACK T. ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D
Contact information
Practice address
1680 COOPER FOSTER PARK RD W, SUITE A, LORAIN, OH 44053-3657
(440) 989-1133
(440) 989-1137
Mailing address
1680 COOPER FOSTER PARK RD W, SUITE A, LORAIN, OH 44053-3657
(440) 989-1133
(440) 989-1137
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A00803
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0883076
—
OH
Enumeration date
05/06/2006
Last updated
04/08/2015
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