Healthcare Provider Details

I. General information

NPI: 1043305451
Provider Name (Legal Business Name): MICHAEL ALAN SCHOLIN AU.D., CNIM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 02/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 WATERFORD CIR
MADISON WI
53719-1588
US

IV. Provider business mailing address

27 WATERFORD CIR
MADISON WI
53719-1588
US

V. Phone/Fax

Practice location:
  • Phone: 608-237-1731
  • Fax: 608-273-1762
Mailing address:
  • Phone: 608-469-2518
  • Fax: 608-273-1762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number57 002154
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT006010
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD-1523
License Number StateID
# 4
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA-978
License Number StateWY
# 5
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number502-156
License Number StateWI
# 6
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number80058
License Number StateTX
# 7
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2007005975
License Number StateMO
# 8
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number41YA00072100
License Number StateNJ
# 9
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147001230
License Number StateIL
# 10
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2201001343
License Number StateVA
# 11
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD-474
License Number StateCO
# 12
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number6790352-4101
License Number StateUT
# 13
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number000690
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: