Healthcare Provider Details

I. General information

NPI: 1801988084
Provider Name (Legal Business Name): BIG HORN BASIN HEARING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 SHERIDAN AVE STE 150 BIG HORN BASIN HEARING INC
CODY WY
82414
US

IV. Provider business mailing address

721 SHERIDAN AVE STE 150 BIG HORN BASIN HEARING INC
CODY WY
82414
US

V. Phone/Fax

Practice location:
  • Phone: 307-527-6475
  • Fax: 307-527-6483
Mailing address:
  • Phone: 307-527-6475
  • Fax: 307-527-6483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUDIOLOGY CLINIC
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAUDIOLOGY CLINIC HEA
License Number StateWY

VIII. Authorized Official

Name: BEN JOSEPH KOPERSKI
Title or Position: PRESIDENT
Credential: MA CCCA FAAA
Phone: 307-527-6475