Healthcare Provider Details

I. General information

NPI: 1518425446
Provider Name (Legal Business Name): SEAN FOLEY HID
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2019
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 MARSCHALL RD STE 200
SHAKOPEE MN
55379-1680
US

IV. Provider business mailing address

327 MARSCHALL RD STE 200
SHAKOPEE MN
55379-1680
US

V. Phone/Fax

Practice location:
  • Phone: 952-445-1474
  • Fax:
Mailing address:
  • Phone: 952-445-1474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2843
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: