Provider Demographics
NPI:1841605110
Name:TOURTILLOTT CONSULTING INC.
Entity Type:Organization
Organization Name:TOURTILLOTT CONSULTING INC.
Other - Org Name:HEARING DOCTORS OF KANSAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:TOURTILLOTT
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:785-271-2284
Mailing Address - Street 1:6001 SW 6TH AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66615-1004
Mailing Address - Country:US
Mailing Address - Phone:785-271-2284
Mailing Address - Fax:785-271-2286
Practice Address - Street 1:6001 SW 6TH AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66615-1004
Practice Address - Country:US
Practice Address - Phone:785-271-2284
Practice Address - Fax:785-271-2286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-25
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1996231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200579640AMedicaid
KS200579640AMedicaid
KS115704Medicare PIN