Provider Demographics
NPI: | 1285063586 |
---|---|
Name: | SOUNDS LIKE A PLAN |
Entity type: | Organization |
Organization Name: | SOUNDS LIKE A PLAN |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KRISTINA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | JACKSON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | HIS |
Authorized Official - Phone: | 440-305-2822 |
Mailing Address - Street 1: | 16770 PHEASANT TRAIL PL |
Mailing Address - Street 2: | |
Mailing Address - City: | STRONGSVILLE |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 44136-6369 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 440-305-2822 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 17250 HUMMEL RD |
Practice Address - Street 2: | |
Practice Address - City: | BROOKPARK |
Practice Address - State: | OH |
Practice Address - Zip Code: | 44142-2134 |
Practice Address - Country: | US |
Practice Address - Phone: | 440-305-2822 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-11-06 |
Last Update Date: | 2013-11-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
OH | 03151 | 237700000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 237700000X | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist | Group - Single Specialty |