Healthcare Provider Details

I. General information

NPI: 1063481950
Provider Name (Legal Business Name): SCOTT LINEWEAVER BS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 S ALMA SCHOOL RD STE 10
CHANDLER AZ
85286-7076
US

IV. Provider business mailing address

4406 E MAIN ST STE 103
MESA AZ
85205-7910
US

V. Phone/Fax

Practice location:
  • Phone: 888-439-3327
  • Fax: 800-682-9127
Mailing address:
  • Phone: 844-432-7483
  • Fax: 800-682-9127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAD4173
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberHAD4173
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: