Provider Demographics
NPI:1326670811
Name:WINDING CREEK AUDIOLOGY & HEARING AID CARE LLC
Entity Type:Organization
Organization Name:WINDING CREEK AUDIOLOGY & HEARING AID CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KLATT
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:715-298-3166
Mailing Address - Street 1:903 GRAND AVE STE C-2
Mailing Address - Street 2:
Mailing Address - City:ROTHSCHILD
Mailing Address - State:WI
Mailing Address - Zip Code:54474-1065
Mailing Address - Country:US
Mailing Address - Phone:715-298-3166
Mailing Address - Fax:715-298-2658
Practice Address - Street 1:903 GRAND AVE STE C-2
Practice Address - Street 2:
Practice Address - City:ROTHSCHILD
Practice Address - State:WI
Practice Address - Zip Code:54474-1065
Practice Address - Country:US
Practice Address - Phone:715-298-3166
Practice Address - Fax:715-298-2658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty