Stacey Lee Shilts in Logansport - Audiologist
Stacey Lee Shilts - NPI 1063684140
Stacey Lee Shilts is a Audiologist in Logansport, Indiana. Stacey Lee Shilts practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Stacey Lee Shilts is 1063684140. The last update date is 2015-12-08.
Stacey Lee Shilts's current location address is 1025 Michigan Ave, Logansport, Indiana. You can contact this provider via phone number 5747532222 and fax number 5747530522. The mailing address for Stacey Lee Shilts is 1025 Michigan Ave, Logansport, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Lee Shilts |
|---|---|
| Address | 1025 Michigan Ave, Logansport, Indiana |
| Phone Number | 5747532222 |
| Fax Number | 5747530522 |
| Sole Proprietor | N |
| Credentials | MS CCC-A |
NPI Number Detail
| NPI Number | 1063684140 |
|---|---|
| Provider Enumeration Date | 2008-03-28 |
| Last Updated Date | 2015-12-08 |
Provider Mailing Address Detail
| Address | 1025 Michigan Ave |
|---|---|
| City | Logansport |
| State | Indiana (IN) |
| Post Code | 469471594 |
| Phone Number | 5747532222 |
| Fax Number | 5747530522 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | 23002220A |
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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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Post Comment/ Review Below
What is the Stacey Lee Shilts's unique identification number?
The Stacey Lee Shilts has been assigned the NPI (National Provider Identifier) Number 1063684140 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Stacey Lee Shilts's physical address?
The Stacey Lee Shilts is physically located at 1025 Michigan Ave, in the city of Logansport, IN, with the postal code 469471594.
What is Stacey Lee Shilts's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stacey Lee Shilts's area of specialization is Audiologist, and the corresponding taxonomy code that categorizes this field of practice is 231H00000X.
On what date did the Stacey Lee Shilts receive the assignment of its 1063684140 from the Centers for Medicare & Medicaid Services?
The Stacey Lee Shilts was issued its 1063684140 by the Centers for Medicare & Medicaid Services on 2008-03-28.
When was the information related to Stacey Lee Shilts most recently updated or refreshed?
The details pertaining to the Stacey Lee Shilts, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-12-08.
NPI Number: 1215930573
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