NPI | 1588953640 |
---|---|
Entity Type | Organization |
Authorized Contact | BLAKE A STUDLEY Owner 308-382-4282 |
Organization Subpart ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NE 241) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NE 066) |
Enumeration Date | 2011-03-29 |
Last Update Date | 2011-06-20 |