Healthcare Provider Details

I. General information

NPI: 1548101652
Provider Name (Legal Business Name): EXPRESS HEARING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

785 MILL ST
BOUNTIFUL UT
84010-3851
US

IV. Provider business mailing address

785 MILL ST
BOUNTIFUL UT
84010-3851
US

V. Phone/Fax

Practice location:
  • Phone: 801-317-8249
  • Fax:
Mailing address:
  • Phone: 801-317-8249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: BENNETT CHARGO
Title or Position: OWNER/AUDIOLOGIST
Credential: AUD
Phone: 952-239-2754