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Organization
FORT WAYNE AUDIOLOGY CONSULTANTS, LLC
Active
Organization
FORT WAYNE AUDIOLOGY CONSULTANTS, LLC
Active
Other names
Lowe Audiology and Hearing Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ZACHARY BURKLE AUD (AUDIOLOGIST/OWNER)
(317) 616-8048
Entity
Organization
Contact information
Practice address
4720 E STATE BLVD, FORT WAYNE, IN 46815-6923
(260) 471-5693
(260) 471-4942
Mailing address
4720 E STATE BLVD, FORT WAYNE, IN 46815-6923
(260) 471-5693
(260) 471-4942
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
23002551A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201255480 A
—
IN
Enumeration date
05/14/2014
Last updated
04/27/2016
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