MEDICARE: CLAIRE J DOWLING AU.D.

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	231H00000X	Audiologist	2201000443	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	541942234	OTHER	VA	FEDERAL TAX ID
2	104691	OTHER	VA	ANTHEM BCBS

General Provider Information

NPI Number	:	1841364056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE J DOWLING AU.D.

Provider Business Mailing Address
First Line	:	984 FIRST COLONIAL RD
Second Line	:	SUITE 302
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3196
Country	:	US
Telephone Number	:	757-481-0385
Fax Number	:	757-481-6946

Provider Business Practice Location Address
First Line	:	984 FIRST COLONIAL RD
Second Line	:	SUITE 302
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3196
Country	:	US
Telephone Number	:	757-481-0385
Fax Number	:	757-481-6946

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

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	07/08/2007

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