Healthcare Provider Details

I. General information

NPI: 1720482615
Provider Name (Legal Business Name): 4319 CONSULTING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2014
Last Update Date: 05/02/2022
Certification Date: 05/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1068 CARLISLE LN
FRANKLIN TN
37064-4801
US

IV. Provider business mailing address

810 OAK MEADOW DR UNIT 681222
FRANKLIN TN
37068-0196
US

V. Phone/Fax

Practice location:
  • Phone: 303-810-5865
  • Fax:
Mailing address:
  • Phone: 303-810-5865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number291
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number291
License Number StateCO

VIII. Authorized Official

Name: JEFFREY PARKINSON
Title or Position: PRESIDENT
Credential: AUD
Phone: 303-810-5865