Provider Demographics
NPI:1467480111
Name:AU.D. HEARING, LLC
Entity type:Organization
Organization Name:AU.D. HEARING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:272-249-8585
Mailing Address - Street 1:875 TOWNLINE RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:LAKE GENEVA
Mailing Address - State:WI
Mailing Address - Zip Code:53147-5517
Mailing Address - Country:US
Mailing Address - Phone:262-249-8585
Mailing Address - Fax:262-249-8589
Practice Address - Street 1:875 TOWNLINE RD UNIT 101
Practice Address - Street 2:
Practice Address - City:LAKE GENEVA
Practice Address - State:WI
Practice Address - Zip Code:53147-5517
Practice Address - Country:US
Practice Address - Phone:262-249-8585
Practice Address - Fax:262-249-8589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech