Provider Demographics
NPI:1720497993
Name:SOUND DECISIONS AUDIOLOGY LLC
Entity Type:Organization
Organization Name:SOUND DECISIONS AUDIOLOGY LLC
Other - Org Name:SOUND DECISIONS AUDIOLOGY & HEARING SOLUTIONS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:AUDIOLOGIST/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:DOWNS
Authorized Official - Suffix:
Authorized Official - Credentials:MCD, CCC-A
Authorized Official - Phone:907-865-3277
Mailing Address - Street 1:2401 E 42ND AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5228
Mailing Address - Country:US
Mailing Address - Phone:907-865-3277
Mailing Address - Fax:907-562-4554
Practice Address - Street 1:2401 E 42ND AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5228
Practice Address - Country:US
Practice Address - Phone:907-865-3277
Practice Address - Fax:907-562-4554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK102261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1596071Medicaid
AK1000349Medicaid