Basic Information
| Provider Information | |||||||||
| NPI: | 1578601514 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TUBERTINI | ||||||||
| FirstName: | ANDREW | ||||||||
| MiddleName: | P. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | AU.D., CCC-A, AAA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 101 LOTTIE LN STE 2 | ||||||||
| Address2: | |||||||||
| City: | FAIRHOPE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 365327309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2519900535 | ||||||||
| FaxNumber: | 2519900538 | ||||||||
| Practice Location | |||||||||
| Address1: | 101 LOTTIE LN STE 2 | ||||||||
| Address2: | |||||||||
| City: | FAIRHOPE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 365327309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2519900535 | ||||||||
| FaxNumber: | 2519900538 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/02/2007 | ||||||||
| LastUpdateDate: | 01/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237600000X | 0983A | AL | N | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter | 231H00000X | 0983A | AL | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.