Provider Demographics
NPI:1982029070
Name:NEOSOUND, LLC
Entity Type:Organization
Organization Name:NEOSOUND, LLC
Other - Org Name:NEOSOUND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMCKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-271-9775
Mailing Address - Street 1:10601 W I 70 FRONTAGE RD N
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-2285
Mailing Address - Country:US
Mailing Address - Phone:303-456-4445
Mailing Address - Fax:
Practice Address - Street 1:10601 W I 70 FRONTAGE RD N
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-2285
Practice Address - Country:US
Practice Address - Phone:303-456-4445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty