Provider Demographics
NPI:1699278747
Name:INNOVATIVE HEARING SOLUTIONS
Entity type:Organization
Organization Name:INNOVATIVE HEARING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-899-0050
Mailing Address - Street 1:3838 MASSILLON RD STE 380A
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-6214
Mailing Address - Country:US
Mailing Address - Phone:330-899-0050
Mailing Address - Fax:330-899-0060
Practice Address - Street 1:3838 MASSILLON RD STE 380A
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-6214
Practice Address - Country:US
Practice Address - Phone:330-899-0050
Practice Address - Fax:330-899-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-15
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA03142261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech