Provider Demographics
NPI: | 1396237145 |
---|---|
Name: | SAWHER, HANNA (AUD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | HANNA |
Middle Name: | |
Last Name: | SAWHER |
Suffix: | |
Gender: | F |
Credentials: | AUD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 3195 HILLSIDE DR |
Mailing Address - Street 2: | |
Mailing Address - City: | DELAFIELD |
Mailing Address - State: | WI |
Mailing Address - Zip Code: | 53018-2189 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 262-646-9977 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 9000 W WISCONSIN AVE STE B340 |
Practice Address - Street 2: | |
Practice Address - City: | MILWAUKEE |
Practice Address - State: | WI |
Practice Address - Zip Code: | 53226-4874 |
Practice Address - Country: | US |
Practice Address - Phone: | 414-266-2934 |
Practice Address - Fax: | 414-266-6189 |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2018-06-06 |
Last Update Date: | 2019-09-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
WI | 660156 | 237600000X |
WI | 660-156 | 231H00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | Group - Multi-Specialty | |
No | 237600000X | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
WI | 1396237145 | Medicaid |