Healthcare Provider Details

I. General information

NPI: 1306357934
Provider Name (Legal Business Name): FLECKS AUDIOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2017
Last Update Date: 02/14/2023
Certification Date: 02/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 W EADS PKWY STE 410
LAWRENCEBURG IN
47025-1374
US

IV. Provider business mailing address

401 W EADS PKWY STE 410
LAWRENCEBURG IN
47025-1374
US

V. Phone/Fax

Practice location:
  • Phone: 812-532-3011
  • Fax: 812-650-7550
Mailing address:
  • Phone: 812-532-3011
  • Fax: 812-650-7550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number23002616A
License Number StateIN

VIII. Authorized Official

Name: ERICA PERSON
Title or Position: CEO
Credential:
Phone: 812-532-3011