=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184757379
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DAWN M AERTS AUD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/14/2007
-----------------------------------------------------
Last Update Date | 02/03/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 37948 BUFFALO GRASS DR
-----------------------------------------------------
City | ELIZABETH
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80107-8579
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-824-9883
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 37948 BUFFALO GRASS DR
-----------------------------------------------------
City | ELIZABETH
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80107-8579
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-824-9883
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 237600000X
-----------------------------------------------------
Taxonomy Name | Audiologist-Hearing Aid Fitter
-----------------------------------------------------
License Number | 147 001153
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number | 147 001153
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------