Audiology Center, Inc.

Key facts

NPI

1053445189

Entity type

Organization (NPI type 2)

Primary specialty

Hearing Aid Equipment 332S00000X

License

A-927 (WY)

Legal business name

AUDIOLOGY CENTER, INC.

Practice address

423 Cole Shopping Ctr
Cheyenne, WY 82001-5370

Phone

(307) 432-9601

Fax

(307) 432-0411

NPI assigned

Mar 14, 2007

Organization subpart

No

Authorized official

Name

Ms. Jan S. Pierson, MS

Title

Audiologist

Phone

(307) 432-9601

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 15, 2009.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1053445189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 COLE SHOPPING CTR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015370",
            "telephone_number": "307-432-9601",
            "fax_number": "307-432-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 COLE SHOPPING CTR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015370",
            "telephone_number": "307-432-9601",
            "fax_number": "307-432-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "307-432-9601",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "WY",
            "license": "A-927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109738501",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Cheyenne, WY · Hearing Aid Equipment in Wyoming