Provider Demographics
NPI:1073382628
Name:SUNSHINE AUDIOLOGY, INC.
Entity Type:Organization
Organization Name:SUNSHINE AUDIOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:916-847-7413
Mailing Address - Street 1:101 CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-3132
Mailing Address - Country:US
Mailing Address - Phone:916-913-3277
Mailing Address - Fax:916-913-2327
Practice Address - Street 1:101 CLINTON AVE
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-3132
Practice Address - Country:US
Practice Address - Phone:916-913-3277
Practice Address - Fax:916-913-2327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty