Organization
REVIVE HEARING CENTERS OF INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH LYNNE HOWSER (MANAGER)
(317) 570-4401
Entity
Organization
Contact information
Practice address
9748 LANTERN RD, FISHERS, IN 46037-9612
(317) 570-4401
(317) 570-4403
Mailing address
9748 LANTERN RD, FISHERS, IN 46037-9612
(317) 570-4401
(317) 570-4403
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002010A
IN
237600000X
Audiologist-Hearing Aid Fitter
23002010A
IN
237700000X
Hearing Instrument Specialist
17001288A
IN
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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