Provider Demographics
NPI:1801081880
Name:OTO-AIDS, INC.
Entity type:Organization
Organization Name:OTO-AIDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:M
Authorized Official - Last Name:RICHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD, CCC-A
Authorized Official - Phone:314-647-8895
Mailing Address - Street 1:6651 CHIPPEWA ST STE 324
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-2532
Mailing Address - Country:US
Mailing Address - Phone:314-647-8895
Mailing Address - Fax:314-647-8898
Practice Address - Street 1:6651 CHIPPEWA ST STE 324
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63109-2532
Practice Address - Country:US
Practice Address - Phone:314-647-8895
Practice Address - Fax:314-647-8898
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WALLACE P. BERKOWITZ, M.D., LTD.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment