Organization
DR. ROBERTS & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK T. ROBERTS AU.D. (AUDIOLOGIST)
(440) 989-1133
Entity
Organization
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
04/17/2008
Last updated
04/08/2015
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