Provider Demographics
NPI:1134459696
Name:AUDIBLE DIFFERENCE, LLC
Entity Type:Organization
Organization Name:AUDIBLE DIFFERENCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:H
Authorized Official - Last Name:HEIDE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:608-273-3036
Mailing Address - Street 1:5727 PEMBROKE DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-5225
Mailing Address - Country:US
Mailing Address - Phone:608-273-3036
Mailing Address - Fax:
Practice Address - Street 1:5727 PEMBROKE DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-5225
Practice Address - Country:US
Practice Address - Phone:608-273-3036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI000082752Medicare UPIN