Acadian Hearing and Balance Center, LLC
Organization Active NPI Specialist · West Monroe, LA
NPI 1760554166 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1760554166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 3564 (LA)
- Legal business name
- ACADIAN HEARING AND BALANCE CENTER, LLC
- Practice address
- 107 Contempo Ave
Ste 3
West Monroe, LA 71291-5311 - Phone
- (318) 410-9095
- Fax
- (318) 410-9561
- NPI assigned
- Nov 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Deborah Dunkeson Cowan, AU.D
- Title
- Audiologist
- Phone
- (318) 410-9095
Practitioners 1
-
Deborah D Cowan, AU.D., CCC-A
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061128000013 | LA | Part B Supplier - Clinic/Group Practice | 1254339393 |
Receives reassigned benefits from 1 practitioner Practice locations: West Monroe, LA |
National Provider Directory
Locations
107 Contempo Ave
Ste 3
West Monroe, LA 71291
Phone (318) 410-9095
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 3564 | LA | Yes |
Addresses
Primary practice location
107 Contempo Ave
Ste 3
West Monroe, LA 71291-5311
Mailing address
107 Contempo Ave
Ste 3
West Monroe, LA 71291-5311
Phone (318) 410-9095
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.