=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396237145
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HANNA SAWHER AUD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/06/2018
-----------------------------------------------------
Last Update Date | 09/03/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9000 W WISCONSIN AVE STE B340
-----------------------------------------------------
City | MILWAUKEE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53226-4874
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-266-2934
-----------------------------------------------------
Fax | 414-266-6189
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3195 HILLSIDE DR
-----------------------------------------------------
City | DELAFIELD
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53018-2189
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 262-646-9977
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 237600000X
-----------------------------------------------------
Taxonomy Name | Audiologist-Hearing Aid Fitter
-----------------------------------------------------
License Number | 660156
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number | 660-156
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------