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NPI Code Detail

MEDICARE: DR. EMILY THOMAS AU.D.

MEDICARE: DR. EMILY THOMAS AU.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist

General Provider Information

NPI Number : 1609651355
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY THOMAS AU.D.
Provider Business Mailing Address
First Line : 3400 S SARE RD APT 425
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47401-8022
Country : US
Telephone Number : 765-469-7489
Fax Number :
Provider Business Practice Location Address
First Line : 2920 S MCINTIRE DR STE 350
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47403-4215
Country : US
Telephone Number : 812-353-3277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2023
Last Update Date : 08/30/2023

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Directions to “ DR. EMILY THOMAS AU.D.” Practice Location

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