Doctor Name: | ANDY R BIERBAUM |
NPI Number: | 1548521412 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 2585 |
Business Practice Address: | 1801 W Kirby Ave Champaign, IL - 618215410 |
Business Phone Number: | 2175521730 |
Business Fax Number: | |
Mailing Address: | 1801 W Kirby Ave, CHAMPAIGN |
State: | IL |
Postal Code: | 618215410 |
Phone Number: | 2175521730 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2012 |
NPI Last Update Date: | 09/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 2585 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Hearing Instrument Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |