Provider Demographics
NPI:1710358718
Name:MEIKLE AUDIOLOGY, LLC
Entity Type:Organization
Organization Name:MEIKLE AUDIOLOGY, LLC
Other - Org Name:HEAR FOR LIFE AUDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMRON
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:MEIKLE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:206-842-6374
Mailing Address - Street 1:345 KNECHTEL WAY NE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-2860
Mailing Address - Country:US
Mailing Address - Phone:206-842-6374
Mailing Address - Fax:206-842-3180
Practice Address - Street 1:345 KNECHTEL WAY NE
Practice Address - Street 2:SUITE 105
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-2860
Practice Address - Country:US
Practice Address - Phone:206-842-6374
Practice Address - Fax:206-842-3180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-16
Last Update Date:2017-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603543189237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty