Madler, Kenneth O

Madler, Kenneth O is an individual health care provider with primary practice located at 115 S Main St , Winchester IN 47394-1822. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Madler, Kenneth O can be contacted via phone (765) 584-4327.

Contact Information

Primary practice address
115 S Main St Winchester IN 47394-1822
Phone: (765) 584-4327
Fax: (765) 584-3677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 23002191A Indiana

Profile Details

NPI number 1922159078
LBN Legal business name Madler, Kenneth O
Credentials MA, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922159078 NPPES
Indiana Other 000000294346 ANTHEM BCBS PROV NUMBER
Indiana MEDICAID 200443140 ANTHEM BCBS PROV NUMBER

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