Healthcare Provider Details

I. General information

NPI: 1861736167
Provider Name (Legal Business Name): AUDIOCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2012
Last Update Date: 12/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8634 S 700 E
SANDY UT
84070-1803
US

IV. Provider business mailing address

8634 S 700 E
SANDY UT
84070-1803
US

V. Phone/Fax

Practice location:
  • Phone: 801-508-4327
  • Fax: 801-912-4327
Mailing address:
  • Phone: 801-508-4327
  • Fax: 801-912-4327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: DR. ENOCH J COX
Title or Position: AUDIOLOGY
Credential: AUD
Phone: 801-508-4327