Organization
EAR NOSE AND THROAT ASSOCIATES, P.C.
Active
Other names
Watauga Hearing Conservation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL J FANKHOUSER CCCA (AUDIOLOGIST)
(423) 929-9101
Entity
Organization
Contact information
Practice address
215 E WATAUGA AVE, JOHNSON CITY, TN 37601-4671
(423) 929-9101
(423) 434-2032
Mailing address
215 E WATAUGA AVE, JOHNSON CITY, TN 37601-4671
(423) 929-9101
(423) 434-2032
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
A0000000247
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3373581
CIGNA MEDICARE
TN
01
—
CA7519
RAILROAD MEDICARE
TN
Enumeration date
10/25/2006
Last updated
07/18/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us