Healthcare Provider Details

I. General information

NPI: 1396237145
Provider Name (Legal Business Name): HANNA SAWHER AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2018
Last Update Date: 09/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 W WISCONSIN AVE STE B340
MILWAUKEE WI
53226-4874
US

IV. Provider business mailing address

3195 HILLSIDE DR
DELAFIELD WI
53018-2189
US

V. Phone/Fax

Practice location:
  • Phone: 414-266-2934
  • Fax: 414-266-6189
Mailing address:
  • Phone: 262-646-9977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number660156
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number660-156
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: