Provider Demographics
NPI:1851817399
Name:APPLETON AUDIOLOGY ASSOCIATES, LLC
Entity Type:Organization
Organization Name:APPLETON AUDIOLOGY ASSOCIATES, LLC
Other - Org Name:HEARING SERVICES OF WISCONSIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:920-475-2331
Mailing Address - Street 1:1520 N MEADE ST
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-3762
Mailing Address - Country:US
Mailing Address - Phone:920-734-7181
Mailing Address - Fax:920-734-0621
Practice Address - Street 1:1056 E GREEN BAY ST
Practice Address - Street 2:
Practice Address - City:SHAWANO
Practice Address - State:WI
Practice Address - Zip Code:54166-2293
Practice Address - Country:US
Practice Address - Phone:715-524-4242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-16
Last Update Date:2017-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty