NPI | 1790919496 |
---|---|
Entity Type | Organization |
Authorized Contact | TERAH WAGNER Owner 317-443-0043 |
Organization Subpart ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: IN 17001256A) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IN 17001256A) |
Enumeration Date | 2009-05-08 |
Last Update Date | 2009-05-11 |