Healthcare Provider Details

I. General information

NPI: 1568069656
Provider Name (Legal Business Name): ALLIE BURKE AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLIE SIMS

II. Dates (important events)

Enumeration Date: 10/02/2020
Last Update Date: 06/23/2022
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16259 SYLVESTER RD SW STE 505
BURIEN WA
98166-3059
US

IV. Provider business mailing address

16259 SYLVESTER RD SW STE 505
BURIEN WA
98166-3059
US

V. Phone/Fax

Practice location:
  • Phone: 206-242-3696
  • Fax:
Mailing address:
  • Phone: 206-242-3696
  • Fax: 206-246-1078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberLD61096972
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: