Provider Demographics
NPI:1003807322
Name:HOLZHAEUSER, WILLIAM J (AUD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:J
Last Name:HOLZHAEUSER
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2101 BEASER AVE
Mailing Address - Street 2:STE 3
Mailing Address - City:ASHLAND
Mailing Address - State:WI
Mailing Address - Zip Code:54806-3632
Mailing Address - Country:US
Mailing Address - Phone:715-682-9311
Mailing Address - Fax:715-682-9313
Practice Address - Street 1:1625 MAPLE LN
Practice Address - Street 2:SUITE 2
Practice Address - City:ASHLAND
Practice Address - State:WI
Practice Address - Zip Code:54806-3768
Practice Address - Country:US
Practice Address - Phone:715-682-9311
Practice Address - Fax:715-682-2486
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI83156231H00000X, 237600000X, 237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41112900Medicaid
WI41112900Medicaid
P26316Medicare UPIN
MIM30750002Medicare PIN