Jane M Elliott is a Audiologist in Brookfield, Wisconsin. Jane M Elliott practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Jane M Elliott is 1114080009. The last update date is 2012-03-02.
Jane M Elliott's current location address is 200 S Executive Dr, Brookfield, Wisconsin. You can contact this provider via phone number 8889646681 and fax number 8886620859. The mailing address for Jane M Elliott is 200 S Executive Dr, Brookfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jane M Elliott |
|---|---|
| Address | 200 S Executive Dr, Brookfield, Wisconsin |
| Phone Number | 8889646681 |
| Fax Number | 8886620859 |
| Sole Proprietor | N |
| Credentials | CCC-A |
NPI Number Detail
| NPI Number | 1114080009 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2012-03-02 |
Provider Mailing Address Detail
| Address | 200 S Executive Dr |
|---|---|
| City | Brookfield |
| State | Wisconsin (WI) |
| Post Code | 530054216 |
| Phone Number | 8889646681 |
| Fax Number | 8886620859 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | 477-156 |
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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 |
|---|---|---|---|
| 41152700 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jane M Elliott by the Centers for Medicare & Medicaid Services (CMS)?
The Jane M Elliott has been assigned the NPI (National Provider Identifier) 1114080009. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jane M Elliott?
The Jane M Elliott is physically situated at 200 S Executive Dr, in the city of Brookfield, state of WI, with the postal code 530054216.
What is Jane M Elliott's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jane M Elliott's area of specialization is Audiologist, and the corresponding taxonomy code that categorizes this field of practice is 231H00000X.
When did Jane M Elliott receive its 1114080009 assignment?
The Jane M Elliott was assigned its 1114080009 on 2006-12-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jane M Elliott most recently updated or revised?
The information pertaining to Jane M Elliott, including its address, specialty, and other relevant details, was last updated or revised on 2012-03-02.