| NPI | 1023228301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON FREDERICK WEAVER President 765-457-4261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: IN 23001956A) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |