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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