Provider Demographics
NPI:1992305528
Name:AUDIOLOGY OUTSIDE THE BOX PLLC
Entity type:Organization
Organization Name:AUDIOLOGY OUTSIDE THE BOX PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CLINICAL AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SPARKS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:202-683-7260
Mailing Address - Street 1:PO BOX 29095
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-0095
Mailing Address - Country:US
Mailing Address - Phone:202-683-7260
Mailing Address - Fax:
Practice Address - Street 1:360 TAYLOR ST NE APT 23R
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-1560
Practice Address - Country:US
Practice Address - Phone:202-683-7260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-01
Last Update Date:2020-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech