1699005389 NPI number — ROBINSON AUDIOLOGY, LLC.

Table of content: (NPI 1699005389)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699005389 NPI number — ROBINSON AUDIOLOGY, LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBINSON AUDIOLOGY, LLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LOGAN HEARING ZONE & BRIGHAM CITY HEARING ZONE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699005389
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
410 N 200 W
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HYDE PARK
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84318-4040
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
435-563-3484
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
575 E 1400 N STE 140
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOGAN
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84341-2456
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
435-753-7171
Provider Business Practice Location Address Fax Number:
435-753-7691
Provider Enumeration Date:
01/04/2010

Additional Information

Authorized Official

Authorized Official Last Name:
ROBINSON
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER/AUDIOLOGIST
Authorized Official Telephone Number:
435-753-7171

Provider Taxonomy Codes

  • Taxonomy code: 237600000X , with the licence number:  03244864101 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com