MEDICARE: THE AUDIOLOGY CENTER,LLC

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	01168 & 102600	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	000024235	OTHER	MO	MEDICARE PROVIDER TRANSACTION ACCESS NUMBER FOR CATHY L WILLEN
3	000024236	OTHER	MO	MEDICARE PROVIDER TRANSACTION ACCESS NUMBER FOR STEVE BROWN

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	:	1902009905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE AUDIOLOGY CENTER,LLC

Provider Business Mailing Address
First Line	:	262 S MOUNT AUBURN RD
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63703-4918
Country	:	US
Telephone Number	:	573-651-3404
Fax Number	:	573-651-0035

Provider Business Practice Location Address
First Line	:	262 S MOUNT AUBURN RD
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63703-4918
Country	:	US
Telephone Number	:	573-651-3404
Fax Number	:	573-651-0035

Authorized Official
Title or Position	:	DR OF AUDIOLOGY
Name	:	STEVE L BROWN
Credential	:	AUD
Telephone Number	:	573-651-3404

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	01/15/2015

Similar Medicare Providers

1912900762 — CATHY L WILLEN AUD
Practice Location Address:

262 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO
63703-4918

Practice Phone: 573-651-3404
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1245233972 — DR. STEVEN L BROWN AUD
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262 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO
63703-4918

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1942310685 — CARRIE JOHNSON
Practice Location Address:

240 S MOUNT AUBURN RD
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63703-4918

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1194894980 — MR. JACOB CHANNING PATTENGILL P.T.
Practice Location Address:

240 S MOUNT AUBURN RD
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63703-4918

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1467591420 — RANDY TINGWALL
Practice Location Address:

240 S MOUNT AUBURN RD
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63703-4918

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1942425392 — CHARLES DOBBS
Practice Location Address:

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63703-4918

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Directions to “THE AUDIOLOGY CENTER,LLC ” Practice Location

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