Healthcare Provider Details

I. General information

NPI: 1750818142
Provider Name (Legal Business Name): MADALINE CARTER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MADALINE PARRILL

II. Dates (important events)

Enumeration Date: 05/16/2017
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2631 E DISCOVERY PKWY
BLOOMINGTON IN
47408-9059
US

IV. Provider business mailing address

2631 E DISCOVERY PKWY
BLOOMINGTON IN
47408-9059
US

V. Phone/Fax

Practice location:
  • Phone: 812-855-7439
  • Fax: 812-855-5531
Mailing address:
  • Phone: 812-855-7439
  • Fax: 812-855-5531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: