Provider Demographics
NPI:1922290634
Name:AUDIO PROFESSIONAL, INC.
Entity Type:Organization
Organization Name:AUDIO PROFESSIONAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF AUDIOLOGY SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:WELKER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:717-741-0788
Mailing Address - Street 1:2192 S QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4626
Mailing Address - Country:US
Mailing Address - Phone:717-741-0788
Mailing Address - Fax:717-747-0140
Practice Address - Street 1:2192 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4626
Practice Address - Country:US
Practice Address - Phone:717-741-0788
Practice Address - Fax:717-747-0140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-16
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT-001013-L237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA200547OtherHIGHMARK BLUE SHIELD
PA02657400OtherCAPITOL BLUE CROSS
PA=========OtherTAX ID NUMBER