Healthcare Provider Details

I. General information

NPI: 1326234956
Provider Name (Legal Business Name): ADVANCED HEARING SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2007
Last Update Date: 09/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2331 VELP AVE SUITE G
GREEN BAY WI
54303-6592
US

IV. Provider business mailing address

2331 VELP AVE SUITE G
GREEN BAY WI
54303-6592
US

V. Phone/Fax

Practice location:
  • Phone: 920-434-6777
  • Fax: 920-434-6988
Mailing address:
  • Phone: 920-434-6777
  • Fax: 920-434-6988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number464
License Number StateWI

VIII. Authorized Official

Name: DR. JANET MARIE THIBERT
Title or Position: OWNER
Credential: AU.D.
Phone: 920-434-6777