Organization
AUDIO HEARING AID SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER C. HERBERGHS OWNER (OWNER)
(330) 364-6637
Entity
Organization
Contact information
Practice address
2630 N. WOOSTER AVE., DOVER, OH 44622
(330) 364-6637
(330) 364-4343
Mailing address
2630 N. WOOSTER AVE., DOVER, OH 44622
(330) 364-6637
(330) 364-4343
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
2589
OH
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155467
BLUE CROSS/BLUE SHIELD
OH
01
—
000000197523
UNISON
OH
05
—
0330917
—
OH
01
—
735195
BUCKEYE COMMUNITY HEALTH PLAN
OH
Enumeration date
08/09/2012
Last updated
08/26/2019
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