Individual
MS. SHARLENE E PEKNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-A
Contact information
Practice address
530 E BROADWAY, COUNCIL BLUFFS, IA 51503-4413
(712) 322-8393
(712) 322-2660
Mailing address
530 E BROADWAY, COUNCIL BLUFFS, IA 51503-4413
(712) 322-8393
(712) 322-2660
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
00010
IA
237600000X
Audiologist-Hearing Aid Fitter
Primary
00297
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126078
—
IA
01
—
I5121
MEDICARE
IA
Enumeration date
10/18/2007
Last updated
10/27/2007
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