Provider Demographics
NPI:1285222406
Name:SCHROEDER AUDIOLOGY & HEARING, LLC
Entity Type:Organization
Organization Name:SCHROEDER AUDIOLOGY & HEARING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:405-492-0075
Mailing Address - Street 1:PO BOX 720809
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73172-0809
Mailing Address - Country:US
Mailing Address - Phone:405-492-0075
Mailing Address - Fax:
Practice Address - Street 1:7800 W HEFNER RD UNIT 720809
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73172-4645
Practice Address - Country:US
Practice Address - Phone:405-492-0075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK4135OtherSTATE AUDIOLOGY LICENSE