MEDICARE: DR. RITA ROSINEK CHAIKEN X 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
1	231H00000X	Audiologist	447	GA
2	231HA2400X	Assistive Technology Practitioner Audiologist	000447	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740228147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RITA ROSINEK CHAIKEN X AU.D.

Provider Business Mailing Address
First Line	:	111 FIELDSTONE DR
Second Line	:	STE. 106
City	:	MILLEDGEVILLE
State	:	GA
Zip	:	31061-7106
Country	:	US
Telephone Number	:	478-452-0578
Fax Number	:	478-453-0967

Provider Business Practice Location Address
First Line	:	6022 SANDY SPRINGS CIR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-3832
Country	:	US
Telephone Number	:	404-256-5194
Fax Number	:	404-256-5114

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	02/15/2016

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