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FORT WAYNE AUDIOLOGY CONSULTANTS LLC NPI 1104237916


NPI Information

NPI: 1104237916
Provider Name: FORT WAYNE AUDIOLOGY CONSULTANTS, LLC

Doing Business As: LOWE AUDIOLOGY AND HEARING CARE

Classification: Clinic/Center - 261QH0700X
Entity Type: Organization

Specialization: Hearing and Speech

Address:
4720 E STATE BLVD
FORT WAYNE, IN
ZIP 46815
Phone: (260) 471-5693
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FORT WAYNE AUDIOLOGY CONSULTANTS, LLC is a hearing and speech clinic center in Fort Wayne, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. FORT WAYNE AUDIOLOGY CONSULTANTS, LLC NPI is 1104237916. The provider is registered as an organization entity type.
The provider Is Doing Business As Lowe Audiology And Hearing Care.

The provider's business location address is:

4720 E STATE BLVD
FORT WAYNE, IN
ZIP 46815-923
Phone: (260) 471-5693
Fax: (260) 471-4942

The provider's authorized official is Thomas Zachary Burkle .
The authorized official title is Audiologist/owner and has the following contact phone number (317) 616-8048.

The enumeration date for this NPI number is 5/14/2014 and was last updated on 4/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0700XClinic/CenterHearing and Speech23002551AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201255480 AMEDICAIDINDIANA
2IN2014MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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