Organization
KEYSTONE HEARING INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY WAYNE FOWLER AU.D FAAA (OWNER)
(717) 540-0812
Entity
Organization
Contact information
Practice address
2151 LINGLESTOWN RD, SUITE 130, HARRISBURG, PA 17110-9499
(717) 540-0812
(717) 540-0810
Mailing address
250 FAME AVE, SUITE 222, HANOVER, PA 17331-1587
(717) 646-9300
(717) 646-9322
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT001146L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018229820002
—
PA
Enumeration date
03/08/2007
Last updated
05/26/2011
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