Provider Demographics
NPI:1285725630
Name:ECHO-NORVELL HEARING AID SERVICES INC
Entity type:Organization
Organization Name:ECHO-NORVELL HEARING AID SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:STARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-344-1201
Mailing Address - Street 1:420 GRANVILLE ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-4345
Mailing Address - Country:US
Mailing Address - Phone:740-344-1201
Mailing Address - Fax:740-344-1298
Practice Address - Street 1:420 GRANVILLE ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-4345
Practice Address - Country:US
Practice Address - Phone:740-344-1201
Practice Address - Fax:740-344-1298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02758237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2639685Medicaid
OH9359861Medicare PIN