Roger Theobald is a Audiologist in Boise, Idaho. Roger Theobald practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Roger Theobald is 1417056201. The last update date is 2018-10-31.
Roger Theobald's current location address is 1084 N Cole Rd, Boise, Idaho. You can contact this provider via phone number 2083770019 and fax number 2083770313. The mailing address for Roger Theobald is 1084 N Cole Rd, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Theobald |
|---|---|
| Address | 1084 N Cole Rd, Boise, Idaho |
| Phone Number | 2083770019 |
| Fax Number | 2083770313 |
| Sole Proprietor | N |
| Credentials | AU.D. |
NPI Number Detail
| NPI Number | 1417056201 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2018-10-31 |
Provider Mailing Address Detail
| Address | 1084 N Cole Rd |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837048642 |
| Phone Number | 2083770019 |
| Fax Number | 2083770313 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
|
Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Roger Theobald by the Centers for Medicare & Medicaid Services?
The Roger Theobald has been assigned the NPI (National Provider Identifier) 1417056201 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Roger Theobald?
The Roger Theobald is situated at 1084 N Cole Rd, in the city of Boise, state of ID, with the zip code 837048642.
What is Roger Theobald's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Roger Theobald is Audiologist, and the corresponding taxonomy classification code for this specialized field is 231H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417056201 to Roger Theobald?
The Centers for Medicare & Medicaid Services originally issued the 1417056201 to Roger Theobald on 2006-09-21.
When was the information regarding Roger Theobald most recently updated?
The details pertaining to the Roger Theobald, including its address, specialty, and other relevant information, were last refreshed on 2018-10-31.
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