Healthcare Provider Details

I. General information

NPI: 1881842441
Provider Name (Legal Business Name): JANET WOLFSON CHASEN AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANET HILARY WOLFSON AU.D.

II. Dates (important events)

Enumeration Date: 09/08/2008
Last Update Date: 03/11/2020
Certification Date: 03/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HENRY CLAY BLVD
LEXINGTON KY
40502-1024
US

IV. Provider business mailing address

350 HENRY CLAY BLVD.
LEXINGTON KY
40502
US

V. Phone/Fax

Practice location:
  • Phone: 859-268-4545
  • Fax: 859-269-1857
Mailing address:
  • Phone: 859-268-4545
  • Fax: 859-269-1857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number0702
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number0288
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: