Provider Demographics
NPI:1871891317
Name:SCARBROUGH, DAVID DUSTIN (HEARING AID DEALER)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:DUSTIN
Last Name:SCARBROUGH
Suffix:
Gender:M
Credentials:HEARING AID DEALER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 SOUTH MILL ST.
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDAVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47933
Mailing Address - Country:US
Mailing Address - Phone:765-364-9900
Mailing Address - Fax:765-446-9922
Practice Address - Street 1:311 KENTWOOD DR
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IN
Practice Address - Zip Code:46041-2729
Practice Address - Country:US
Practice Address - Phone:765-659-4327
Practice Address - Fax:765-659-3727
Is Sole Proprietor?:No
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001257A237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist