Organization
C & D MCCLUSKY LTD
Active
Other names
Miracle-Ear
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE MCCLUSKY (OWNER)
(330) 706-0446
Entity
Organization
Contact information
Practice address
3725 CLEVELAND MASSILLON RD, NORTON, OH 44203-5614
(330) 706-0446
(330) 706-0465
Mailing address
3725 CLEVELAND MASSILLON RD, NORTON, OH 44203-5614
(330) 706-0446
(330) 706-0465
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2075
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155889
ANTHEM PIN #
OH
01
—
7670683
AETNA PIN #
OH
Enumeration date
05/14/2007
Last updated
08/22/2020
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