Healthcare Provider Details

I. General information

NPI: 1699100842
Provider Name (Legal Business Name): BARBARA CARROLL HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA STEUBER HIS

II. Dates (important events)

Enumeration Date: 09/06/2013
Last Update Date: 03/04/2022
Certification Date: 03/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7230 W 13TH ST N STE 2
WICHITA KS
67212-2982
US

IV. Provider business mailing address

7230 W 13TH ST N STE 2
WICHITA KS
67212-2982
US

V. Phone/Fax

Practice location:
  • Phone: 316-264-8870
  • Fax: 316-264-2681
Mailing address:
  • Phone: 316-264-8870
  • Fax: 316-264-2681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: