Provider Demographics
NPI:1184757379
Name:AERTS, DAWN M (AUD)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:M
Last Name:AERTS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MRS
Other - First Name:DAWN
Other - Middle Name:M
Other - Last Name:REARDON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:37948 BUFFALO GRASS DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:CO
Mailing Address - Zip Code:80107-8579
Mailing Address - Country:US
Mailing Address - Phone:303-824-9883
Mailing Address - Fax:
Practice Address - Street 1:37948 BUFFALO GRASS DR
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:CO
Practice Address - Zip Code:80107-8579
Practice Address - Country:US
Practice Address - Phone:303-824-9883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X
IL147 001153237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
K20768Medicare UPIN
K20767Medicare UPIN
IL930640Medicare ID - Type Unspecified
IL209747Medicare ID - Type Unspecified