Organization
UNIVERSITY SURGICAL ASSOCIATES, PSC
Active
Parent organization
UNIVERSITY SURGICAL ASSOCIATES, PSC
Other names
HearCare Associates-Audiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY SURGICAL ASSOCIATES, PSC
Authorized official
MR. TIMOTHY D. CROCKETT (CEO)
(502) 583-8303
Entity
Organization
Contact information
Practice address
401 E CHESTNUT ST, SUITE 710, LOUISVILLE, KY 40202-5700
(502) 583-8303
(502) 584-0302
Mailing address
401 E CHESTNUT ST, SUITE 710, LOUISVILLE, KY 40202-5700
(502) 583-8303
(502) 584-0302
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70900576
—
KY
Enumeration date
11/26/2007
Last updated
09/03/2009
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