Provider Demographics
NPI:1811201031
Name:SHOLTEN, THOMAS HENRY (BC-HIS)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:HENRY
Last Name:SHOLTEN
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 MONTGOMERY HWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1862
Mailing Address - Country:US
Mailing Address - Phone:205-978-5881
Mailing Address - Fax:
Practice Address - Street 1:512 MONTGOMERY HWY
Practice Address - Street 2:SUITE 210
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-1843
Practice Address - Country:US
Practice Address - Phone:205-978-5881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-29
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4100237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist