Healthcare Provider Details

I. General information

NPI: 1568145233
Provider Name (Legal Business Name): EARS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2023
Last Update Date: 08/09/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1133 COLLEGE AVE STE C145
MANHATTAN KS
66502-2721
US

IV. Provider business mailing address

1133 COLLEGE AVE STE C145
MANHATTAN KS
66502-2721
US

V. Phone/Fax

Practice location:
  • Phone: 785-320-7388
  • Fax: 785-320-6056
Mailing address:
  • Phone: 785-320-7388
  • Fax: 785-320-6056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: KATHRYN BUNKER
Title or Position: AUDIOLOGIST/OWNER
Credential: AUD
Phone: 785-320-7388