Basic Information
Provider Information
NPI: 1134269624
EntityType: 2
ReplacementNPI:  
OrganizationName: BELLEOBER INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: AKRON HEARING HEALTH
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3200 W MARKET ST STE 108
Address2:  
City: FAIRLAWN
State: OH
PostalCode: 443333324
CountryCode: US
TelephoneNumber: 3308699911
FaxNumber: 3308699780
Practice Location
Address1: 3200 W MARKET ST STE 108
Address2:  
City: FAIRLAWN
State: OH
PostalCode: 443333324
CountryCode: US
TelephoneNumber: 3308699911
FaxNumber: 3308699780
Other Information
ProviderEnumerationDate: 02/07/2007
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: OBER
AuthorizedOfficialFirstName: CHERYL
AuthorizedOfficialMiddleName: M
AuthorizedOfficialTitleorPosition: DOCTOR OF AUDIOLOGY
AuthorizedOfficialTelephone: 3308699911
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: AU.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000XA0119OHY193400000X SINGLE SPECIALTY GROUPSpeech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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