Provider Demographics
NPI:1154724300
Name:HYND, ALEXANDER III (HAS)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:HYND
Suffix:III
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHARDON
Mailing Address - State:OH
Mailing Address - Zip Code:44024-1244
Mailing Address - Country:US
Mailing Address - Phone:440-285-1700
Mailing Address - Fax:440-285-7264
Practice Address - Street 1:151 MAIN ST
Practice Address - Street 2:
Practice Address - City:CHARDON
Practice Address - State:OH
Practice Address - Zip Code:44024-1244
Practice Address - Country:US
Practice Address - Phone:440-285-1700
Practice Address - Fax:440-285-7264
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-02
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03210237700000X
OH3210332S00000X
OH237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No332S00000XSuppliersHearing Aid Equipment