Favetta, Fred Joseph

Favetta, Fred Joseph is an sole proprietor health care provider with primary practice located at 2400 Tallmadge Rd , Ravenna OH 44266-8218. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Favetta, Fred Joseph can be contacted via phone (330) 678-4646.

Contact Information

Primary practice address
2400 Tallmadge Rd Ravenna OH 44266-8218
Phone: (330) 678-4646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X A-0429 Ohio

Profile Details

NPI number 1699977298
LBN Legal business name Favetta, Fred Joseph
Credentials M.A., CCC-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2007
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699977298 NPPES
Ohio MEDICAID 0643665

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