Healthcare Provider Details

I. General information

NPI: 1730336074
Provider Name (Legal Business Name): ERIN T AMIOT AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 11/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4131 W LOOMIS RD #110
GREENFIELD WI
53221
US

IV. Provider business mailing address

100 15TH AVE #180
SOUTH MILWAUKEE WI
53172-1160
US

V. Phone/Fax

Practice location:
  • Phone: 414-281-5153
  • Fax: 414-281-9122
Mailing address:
  • Phone: 414-768-5430
  • Fax: 414-762-4225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number531-156
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: