NPI 1093719874 · live from the CMS NPI Registry
Omallah Bush, AuD
Audiologist-Hearing Aid Fitter in Alliance, OH. National Provider Identifier 1093719874, active.
NPI record
| NPI | 1093719874 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist-Hearing Aid Fitter 237600000X |
| Practice location | 1360 W State St, Alliance, OH 44601 |
| Practice phone | 330-821-2012 |
| Mailing address | 8800 Se Sunnyside Rd Ste 300n, Clackamas, OR 97015 |
| Enumerated | June 9, 2005 |
| Last updated | January 15, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist | 231H00000X | A-01176 (OH) |
| Hearing Instrument Specialist | 237700000X | — (OH) |
| Audiologist-Hearing Aid Fitter primary | 237600000X | — (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.