MEDICARE: BRITTON SCOTT HILL BC HIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	5979244-4601	UT

General Provider Information

NPI Number	:	1124467535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTON SCOTT HILL BC HIS

Provider Business Mailing Address
First Line	:	215 SHUMAN BLVD
Second Line	:	STE 401
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-8458
Country	:	US
Telephone Number	:	630-303-5380
Fax Number	:	978-313-6824

Provider Business Practice Location Address
First Line	:	1441 E 2100 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84105-3724
Country	:	US
Telephone Number	:	801-485-1441
Fax Number	:	801-485-1480

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2013
Last Update Date	:	07/13/2016

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