Doctor Name: | DEREK GORSUCH |
NPI Number: | 1396176442 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 02964 |
Business Practice Address: | 2405 N Columbus St Ste 140 Lancaster, OH - 431308189 |
Business Phone Number: | 7406529334 |
Business Fax Number: | |
Mailing Address: | 140 E Willow Dr, ZANESVILLE |
State: | OH |
Postal Code: | 437011249 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/27/2013 |
NPI Last Update Date: | 11/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 02964 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Hearing Instrument Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |