Healthcare Provider Details

I. General information

NPI: 1245820323
Provider Name (Legal Business Name): THUMB AUDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2021
Last Update Date: 01/22/2021
Certification Date: 01/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 E HURON AVE
BAD AXE MI
48413-1338
US

IV. Provider business mailing address

243 E HURON AVE
BAD AXE MI
48413-1338
US

V. Phone/Fax

Practice location:
  • Phone: 989-553-3277
  • Fax:
Mailing address:
  • Phone: 989-553-3277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: DR. STEFANIE BEHNKE
Title or Position: AUDIOLOGIST/OWNER
Credential: AU.D.
Phone: 989-712-7833