Provider Demographics
NPI:1477985760
Name:AUDIOLOGY HEARING CLINIC OF MEQUON, S.C.
Entity Type:Organization
Organization Name:AUDIOLOGY HEARING CLINIC OF MEQUON, S.C.
Other - Org Name:HOLSCHUH AUDIOLOGY CLINIC, SC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:AUDIOLOGIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOLSCHUH
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:262-241-3144
Mailing Address - Street 1:11649 N PORT WASHINGTON RD
Mailing Address - Street 2:STE. 105
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-3460
Mailing Address - Country:US
Mailing Address - Phone:262-241-3144
Mailing Address - Fax:262-241-3186
Practice Address - Street 1:11649 N PORT WASHINGTON RD
Practice Address - Street 2:STE. 105
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-3460
Practice Address - Country:US
Practice Address - Phone:262-241-3144
Practice Address - Fax:262-241-3186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-08
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI333-156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty