=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700920808
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DOCTORS HEARING CARE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/20/2007
-----------------------------------------------------
Last Update Date | 06/05/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3211 GRANT LINE RD STE 1
-----------------------------------------------------
City | NEW ALBANY
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47150-0003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-949-3272
-----------------------------------------------------
Fax | 812-949-3271
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3211 GRANT LINE RD STE 1
-----------------------------------------------------
City | NEW ALBANY
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47150-0003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-949-3272
-----------------------------------------------------
Fax | 812-949-3271
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. CATHERINE ANN MILLER
-----------------------------------------------------
Credential | AUD
-----------------------------------------------------
Telephone | 812-949-3272
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number | 23002146A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------