Randy Lyman Bishop in Pocatello - Audiologist
Randy Lyman Bishop - NPI 1720004419
Randy Lyman Bishop is a Audiologist in Pocatello, Idaho. Randy Lyman Bishop practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Randy Lyman Bishop is 1720004419. The last update date is 2007-07-08.
Randy Lyman Bishop's current location address is 650 Medical Dr, Pocatello, Idaho. You can contact this provider via phone number 2082824034 and fax number 2082824571. The mailing address for Randy Lyman Bishop is 650 Medical Dr, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy Lyman Bishop |
|---|---|
| Address | 650 Medical Dr, Pocatello, Idaho |
| Phone Number | 2082824034 |
| Fax Number | 2082824571 |
| Sole Proprietor | N |
| Credentials | M.S. |
NPI Number Detail
| NPI Number | 1720004419 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 650 Medical Dr |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832090001 |
| Phone Number | 2082824034 |
| Fax Number | 2082824571 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | AUD 1225 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AU 761 | ID | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Randy Lyman Bishop by the Centers for Medicare & Medicaid Services?
The Randy Lyman Bishop has been assigned the NPI (National Provider Identifier) 1720004419 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Randy Lyman Bishop's physical address?
The Randy Lyman Bishop is physically located at 650 Medical Dr, in the city of Pocatello, ID, with the postal code 832090001.
What is Randy Lyman Bishop's area of expertise and its corresponding taxonomy classification?
The Randy Lyman Bishop's field of specialization is Audiologist, and it falls under the taxonomy code 231H00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1720004419 to Randy Lyman Bishop?
The Randy Lyman Bishop received its 1720004419 assignment from the Centers for Medicare & Medicaid Services on 2006-07-14.
When was the information pertaining to Randy Lyman Bishop most recently updated or revised?
The details related to Randy Lyman Bishop, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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