Provider Demographics
NPI:1821079286
Name:TRANSO, POUL-ERIK (CCC-A)
Entity Type:Individual
Prefix:MR
First Name:POUL-ERIK
Middle Name:
Last Name:TRANSO
Suffix:
Gender:M
Credentials:CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 E BLUFF ST
Mailing Address - Street 2:
Mailing Address - City:BOSCOBEL
Mailing Address - State:WI
Mailing Address - Zip Code:53805-1610
Mailing Address - Country:US
Mailing Address - Phone:608-375-4327
Mailing Address - Fax:608-375-2351
Practice Address - Street 1:109 E BLUFF ST
Practice Address - Street 2:
Practice Address - City:BOSCOBEL
Practice Address - State:WI
Practice Address - Zip Code:53805-1610
Practice Address - Country:US
Practice Address - Phone:608-375-4327
Practice Address - Fax:608-375-2351
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI176-156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI000186145OtherMEDICARE PTAN
WI41126000Medicaid