Provider Demographics
NPI:1952602997
Name:ELZINGA, JOSHUA G (AUD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:G
Last Name:ELZINGA
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3907 CALUMET AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-2286
Mailing Address - Country:US
Mailing Address - Phone:219-462-6866
Mailing Address - Fax:219-462-9369
Practice Address - Street 1:3907 CALUMET AVE STE 201
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-2286
Practice Address - Country:US
Practice Address - Phone:219-462-6866
Practice Address - Fax:219-462-9369
Is Sole Proprietor?:No
Enumeration Date:2010-11-08
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002488A237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter