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17020 E Us Highway 40, Suite 9, Independence, MO 64055-5361 | |
| (816) 373-7900 | |
| (816) 373-7969 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 17020 E Us Highway 40, Independence, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225105976 | NPI | - | NPPES |
| 37585023 | Other | MO | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 102183 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
17020 E Us Highway 40, Suite 9, Independence, MO 64055-5361 Ph: (816) 373-7900 | 17020 E Us Highway 40, Suite 9, Independence, MO 64055-5361 Ph: (816) 373-7900 |
Nichole Witzel, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 19400 E 37th Terrace Ct S Apt 1513, Independence, MO 64057 Phone: 719-429-5136 | |
Lorrie Robin Gaschler, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 20300 E Valley View Pkwy, Independence, MO 64057 Phone: 816-478-5200 | |
Mr. Charles E. Hare, M.S., CCCA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 17020 E Us Highway 40, Suite 9, Independence, MO 64055 Phone: 816-373-7900 Fax: 816-373-7969 | |
Diane M Cole, SLP Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2101 N Twyman Rd, Independence, MO 64058 Phone: 816-650-7480 Fax: 816-650-7485 |