NPI 1972833481

Eastern Idaho Audiology, LLC

Organisation Audiologist-Hearing Aid Fitter Chubbuck, ID

Practice location

Address: 4155 Yellowstone Ave Pine Ridge Mall, Chubbuck, ID 83202-2345
Phone: (208) 238-0020
Fax: (208) 238-0021
Mailing address: 7808 W Pocatello Creek Rd, Pocatello, ID 83201-9058

Authorised official

Name: Kelley J Olenick
Title: Owner/Audiologist
Phone: (208) 238-0020

Registered specialties

Audiologist-Hearing Aid Fitter Primary

Speech, Language and Hearing Service Providers Taxonomy 237600000X Licence AUD1214 (ID)

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Registry record

NPI: 1972833481
Entity type: Organization
NPI issued: 5 Jan 2010
Record last updated: 5 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.