HEARING DIAGNOSTICS CENTER PC NPI 1083697510

NPI Information

  • NPI: 1083697510
  • Provider Name: HEARING DIAGNOSTICS CENTER PC
  • Classification: Audiologist-Hearing Aid Fitter - 237600000X
  • Entity Type: Organization
  • Address: 1206 COLLEGE AVE
    SUITE 1
    GOSHEN, IN
    ZIP 46526
  • Phone: (574) 534-4171

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NPI Details

HEARING DIAGNOSTICS CENTER PC is an audiologist hearing aid fitter in Goshen, IN. The provider is an audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists. HEARING DIAGNOSTICS CENTER PC NPI is 1083697510. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1206 COLLEGE AVE
SUITE 1
GOSHEN, IN
ZIP 46526-937
Phone: (574) 534-4171
Fax: (574) 533-3466

The provider's authorized official is David C Craig .
The authorized official title is Owner/president and has the following contact phone number (574) 534-4171.

The enumeration date for this NPI number is 11/29/2005 and was last updated on 11/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1231H00000XAudiologist58000001AINDIANANo
2237600000XAudiologist-Hearing Aid Fitter58000001AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000201762OTHERINDIANAHA SUPPLIER (DME)
20303310002OTHERINDIANAADMINISTAR
3NPP000MEDICARE UPIN
4000000087117OTHERANTHEM BCBS AUDIOLOGY
5226800MEDICARE ID-TYPE UNSPECIFIED
6100113470AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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