Dana Wilson is a Audiologist in Bloomington, Indiana. Dana Wilson practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Dana Wilson is 1083603997. The last update date is 2007-07-08.
Dana Wilson's current location address is 200 S Jordan Ave, Bloomington, Indiana. You can contact this provider via phone number 8128557439 and fax number 8128555561. The mailing address for Dana Wilson is 200 S Jordan Ave, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dana Wilson |
|---|---|
| Address | 200 S Jordan Ave, Bloomington, Indiana |
| Phone Number | 8128557439 |
| Fax Number | 8128555561 |
| Sole Proprietor | X |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1083603997 |
|---|---|
| Provider Enumeration Date | 2005-10-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 S Jordan Ave |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474057002 |
| Phone Number | 8128557439 |
| Fax Number | 8128555561 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | 23002148A |
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Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11512048 | IN | CAQH PROVIDER ID |
Post Comment/ Review Below
What is the unique identification code assigned to Dana Wilson by the Centers for Medicare & Medicaid Services?
The Dana Wilson has been issued the NPI (National Provider Identifier) 1083603997. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dana Wilson is geographically located?
The Dana Wilson is physically situated at the following location: 200 S Jordan Ave, Bloomington, IN, 474057002.
What is Dana Wilson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dana Wilson is Audiologist, and the taxonomy classification code that categorizes this area of expertise is 231H00000X.
When did the Dana Wilson receive its 1083603997?
The Dana Wilson was issued its 1083603997 on 2005-10-14, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Dana Wilson most recently updated or revised?
The details related to Dana Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA