Provider Demographics
NPI:1568679496
Name:FLATIRONS AUDIOLOGY, INC
Entity Type:Organization
Organization Name:FLATIRONS AUDIOLOGY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ESCHENBRENNER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:303-664-9111
Mailing Address - Street 1:300 EXEMPLA CIR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3397
Mailing Address - Country:US
Mailing Address - Phone:303-664-9111
Mailing Address - Fax:
Practice Address - Street 1:300 EXEMPLA CIR
Practice Address - Street 2:SUITE 365
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3397
Practice Address - Country:US
Practice Address - Phone:303-664-9111
Practice Address - Fax:303-664-5333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO331231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO29057701Medicaid
CO29057701Medicaid