Branham, Audra N.
Branham, Audra N. is an individual health care provider with primary practice located at 755 Boardman Canfield Rd South Bridge West, C1, Boardman OH 44512-4300. She recently has 4 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Assistive Technology Supplier, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Branham, Audra N. can be contacted via phone (330) 726-8155.Contact Information
Primary practice address
755 Boardman Canfield Rd South Bridge West, C1
Boardman OH 44512-4300
Phone: (330) 726-8155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | A.01753 | Ohio |
| Speech, Language and Hearing Service Providers / Assistive Technology Practitioner | 231HA2400X | A.01753 | Ohio |
| Speech, Language and Hearing Service Providers / Assistive Technology Supplier | 231HA2500X | A.01753 | Ohio |
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | A.01753 | Ohio |
Profile Details
| NPI number | 1225342090 |
|---|---|
| LBN Legal business name | Branham, Audra N. |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2010 |
| Last updated | Sep 11th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225342090 | NPPES |
| Ohio | MEDICAID | 0516301 |
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