Provider Demographics
NPI:1386334233
Name:ROBERT J DENYSE, INC
Entity type:Organization
Organization Name:ROBERT J DENYSE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JORDAN
Authorized Official - Last Name:DENYSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-426-3409
Mailing Address - Street 1:333 E. WASHINGTON BLVD.
Mailing Address - Street 2:SUITE G
Mailing Address - City:FOR WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46802-3100
Mailing Address - Country:US
Mailing Address - Phone:260-426-3409
Mailing Address - Fax:260-426-0127
Practice Address - Street 1:333 E. WASHINGTON BLVD.
Practice Address - Street 2:SUITE G
Practice Address - City:FOR WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46802-3100
Practice Address - Country:US
Practice Address - Phone:260-426-3409
Practice Address - Fax:260-426-0127
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROBERT J DENYSE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty