Healthcare Provider Details

I. General information

NPI: 1003339292
Provider Name (Legal Business Name): AUDIOLOGY HAWAII LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99-115 AIEA HEIGHTS DR STE 264
AIEA HI
96701-3975
US

IV. Provider business mailing address

99-115 AIEA HEIGHTS DR STE 264
AIEA HI
96701-3975
US

V. Phone/Fax

Practice location:
  • Phone: 808-486-5000
  • Fax: 808-486-5007
Mailing address:
  • Phone: 808-486-5000
  • Fax: 808-486-5007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD134
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberHA224
License Number StateHI

VIII. Authorized Official

Name: DR. MEGHAN MUELLER-SCHULTZ
Title or Position: OWNER/AUDIOLOGIST
Credential: AUD
Phone: 808-486-5000