Individual
PATRICIA WELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1755 FULTON ST, SUITE A, ELKHART, IN 46514-1927
(574) 296-3200
(574) 296-3392
Mailing address
PO BOX 2968, ELKHART, IN 46515-2968
(574) 296-3200
(574) 296-3392
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001120A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IN
05
—
PENDING
—
MI
Enumeration date
04/18/2008
Last updated
11/09/2015
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