Ear Clinic, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

309-156 Issued in WI

Legal business name

EAR CLINIC, LLC

Practice address

125B E Pine St
Lake Mills, WI 53551-1103

Phone

(920) 648-4020

Fax

(920) 648-4365

NPI assigned

Sep 20, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Amy K Kroll, AU.D.

Title

Audiologist

Phone

(920) 988-8223

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1174806897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125B E PINE ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511103",
            "telephone_number": "920-648-4020",
            "fax_number": "920-648-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125B E PINE ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511103",
            "telephone_number": "920-648-4020",
            "fax_number": "920-648-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "KROLL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "920-988-8223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "WI",
            "license": "309-156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher James Kroll LLC
• City of Lake Mills
• Sarah Clement, M.A. CCC-SLP
• Country Cares LLC
• Dental Associates of Lake Mills, Inc.
• Lynne M. Edebohls, APNP
• Emily Enstad, ATR, LPC
• Extendicare Health Facilities, Inc.
• Steven John Fahsel, DDS
• Venessa Lee Farn, MS,LPC-SASD,NCC,CTS

• Hearing and Speech Clinic/Center in Lake Mills, WI
• Providers in Lake Mills, WI by specialty
• Hearing and Speech Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.