Healthcare Provider Details

I. General information

NPI: 1790904605
Provider Name (Legal Business Name): AUDIOLOGICAL CONSULTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3575 S SHERMAN ST STE 3
ENGLEWOOD CO
80113-3798
US

IV. Provider business mailing address

3575 S SHERMAN ST STE 3
ENGLEWOOD CO
80113-3798
US

V. Phone/Fax

Practice location:
  • Phone: 303-761-7600
  • Fax: 303-762-1053
Mailing address:
  • Phone: 303-761-7600
  • Fax: 303-762-1053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number101
License Number StateCO

VIII. Authorized Official

Name: MR. THOMAS JAMES NORTHEY
Title or Position: DIRECTOR OF OPERATIONS
Credential: M.S.M.
Phone: 303-761-7600