Healthcare Provider Details

I. General information

NPI: 1053719047
Provider Name (Legal Business Name): BETTER HEARING AND AUDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2014
Last Update Date: 08/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1753 W BROADWAY ST
IDAHO FALLS ID
83402-3045
US

IV. Provider business mailing address

1753 W BROADWAY ST
IDAHO FALLS ID
83402-3045
US

V. Phone/Fax

Practice location:
  • Phone: 208-346-3606
  • Fax:
Mailing address:
  • Phone: 208-346-3606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD 1118
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: DR. KALOB J. PARSONS
Title or Position: OWNER
Credential: AU.D.
Phone: 208-346-3606