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NPI Code Detail

MEDICARE: AUDIOLOGY SPECIALTY CLINIC

MEDICARE: AUDIOLOGY SPECIALTY CLINIC
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
1231H00000XAudiologist11SD
2231H00000XAudiologist16SD
3231H00000XAudiologist375SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1375OTHERSDAUDIOLOGY LICENSE
21487964144OTHERSDNPI
31184899882OTHERSDNPI
41538334131OTHERSDNPI
516OTHERSDAUDIOLOGY LICENSE
611OTHERSDAUDIOLOGY LICENSE

General Provider Information

NPI Number : 1609137942
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUDIOLOGY SPECIALTY CLINIC
Provider Business Mailing Address
First Line : 5124 S WESTERN AVE
Second Line : SUITE 4
City : SIOUX FALLS
State : SD
Zip : 57108-5047
Country : US
Telephone Number : 605-275-5545
Fax Number : 605-275-5546
Provider Business Practice Location Address
First Line : 5124 S WESTERN AVE
Second Line : SUITE 4
City : SIOUX FALLS
State : SD
Zip : 57108-5047
Country : US
Telephone Number : 605-275-5545
Fax Number : 605-275-5546
Authorized Official
Title or Position : OWNER
Name : DR. LINDSEY KOCH
Credential : AUD
Telephone Number : 605-275-5545
Provider Enumeration Date : 06/04/2012
Last Update Date : 06/04/2012

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:
2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106
Practice Phone: 605-373-0100
Practice Fax:
1679621064 — MR. ROBERT GEORGE MCCOY DC
Practice Location Address:
5124 S WESTERN AVE , STE 1
SIOUX FALLS, SD
57108-5047
Practice Phone: 605-339-3300
Practice Fax: 605-339-8880
1538334131 — KRISTEN J KAUFMAN AUD
Practice Location Address:
5124 S WESTERN AVE , SUITE 4
SIOUX FALLS, SD
57108-5047
Practice Phone: 605-275-5545
Practice Fax: 605-275-5546
1184899882 — MELINDA A HEEGEL CCC-A
Practice Location Address:
5124 S WESTERN AVE , SUITE 4
SIOUX FALLS, SD
57108-5047
Practice Phone: 605-275-5545
Practice Fax: 605-275-5546
1487964144 — DR. LINDSEY RAE KOCH AUD
Practice Location Address:
5124 S WESTERN AVE , SUITE 4
SIOUX FALLS, SD
57108-5047
Practice Phone: 605-275-5545
Practice Fax: 605-275-5546
1093077992 — DWCNP, LLC
Practice Location Address:
5124 S WESTERN AVE , SUITE 4
SIOUX FALLS, SD
57108-5047
Practice Phone: 605-274-3898
Practice Fax: 605-274-3899

Directions to “AUDIOLOGY SPECIALTY CLINIC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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