Healthcare Provider Details

I. General information

NPI: 1396143426
Provider Name (Legal Business Name): ABSOLUTE HEARING SOLUTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2014
Last Update Date: 10/04/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 W 200 N STE 110
ST GEORGE UT
84770-7386
US

IV. Provider business mailing address

161 W 200 N STE 110
ST GEORGE UT
84770-7386
US

V. Phone/Fax

Practice location:
  • Phone: 435-628-3192
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number6949078-4101
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number7085138-4601
License Number StateUT

VIII. Authorized Official

Name: JARED MATTHEW BRADER
Title or Position: PRESIDENT
Credential: MBA
Phone: 435-628-3192