MEDICARE: AUDIOLOGY UNLIMITED & HEARING AID SALES LLC

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	231H00000X	Audiologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770633026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUDIOLOGY UNLIMITED & HEARING AID SALES LLC

Provider Business Mailing Address
First Line	:	1740 N. MILWAUKEE
Second Line	:	SUITE A
City	:	BOISE
State	:	ID
Zip	:	83704
Country	:	US
Telephone Number	:	208-658-0238
Fax Number	:

Provider Business Practice Location Address
First Line	:	1740 N. MILWAUKEE
Second Line	:	SUITE A
City	:	BOISE
State	:	ID
Zip	:	83704
Country	:	US
Telephone Number	:	208-658-0238
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CYNTHIA K OLSEN
Credential	:	AUD, CCC-A
Telephone Number	:	208-658-0238

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	08/03/2022

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