MEDICARE: CHASITY WHEELER HAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	AS5527	FL

General Provider Information

NPI Number	:	1437724309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHASITY WHEELER HAS

Provider Business Mailing Address
First Line	:	2803 JAMES L REDMAN PKWY STE 3
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33566-9413
Country	:	US
Telephone Number	:	813-754-3955
Fax Number	:

Provider Business Practice Location Address
First Line	:	2803 JAMES L REDMAN PKWY STE 3
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33566-9413
Country	:	US
Telephone Number	:	813-754-3955
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2021
Last Update Date	:	05/24/2021

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