Healthcare Provider Details

I. General information

NPI: 1225214257
Provider Name (Legal Business Name): ELISE ANN UHRING AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2008
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MIFFLIN ST
HUNTINGDON PA
16652-1436
US

IV. Provider business mailing address

200 MIFFLIN ST
HUNTINGDON PA
16652-1436
US

V. Phone/Fax

Practice location:
  • Phone: 814-641-4327
  • Fax: 814-641-7104
Mailing address:
  • Phone: 814-641-4327
  • Fax: 814-641-7104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT000419L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAT000419L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAT000419L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: