Healthcare Provider Details

I. General information

NPI: 1770758047
Provider Name (Legal Business Name): AUDIO PROFESSIONALS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2008
Last Update Date: 04/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6431 BLUFFTON RD
FORT WAYNE IN
46809-2371
US

IV. Provider business mailing address

6431 BLUFFTON RD
FORT WAYNE IN
46809-2371
US

V. Phone/Fax

Practice location:
  • Phone: 260-747-4353
  • Fax: 260-747-4934
Mailing address:
  • Phone: 260-747-4353
  • Fax: 260-747-4934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number17001225A
License Number StateIN

VIII. Authorized Official

Name: MRS. KAREN LYNN JAMES
Title or Position: OWNER
Credential: H.A.D.
Phone: 260-747-4353