Jean Boller is a Audiologist in San Antonio, Texas. Jean Boller practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Jean Boller is 1306834221. The last update date is 2014-09-30.
Jean Boller's current location address is 603 E Hildebrand Ave, San Antonio, Texas. You can contact this provider via phone number 2108240063 and fax number 2108248514. The mailing address for Jean Boller is 603 E Hildebrand Ave, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean Boller |
|---|---|
| Address | 603 E Hildebrand Ave, San Antonio, Texas |
| Phone Number | 2108240063 |
| Fax Number | 2108248514 |
| Sole Proprietor | N |
| Credentials | M.S.,CCC-A |
NPI Number Detail
| NPI Number | 1306834221 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2014-09-30 |
Provider Mailing Address Detail
| Address | 603 E Hildebrand Ave |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782122693 |
| Phone Number | 2108240063 |
| Fax Number | 2108248514 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | 50862 |
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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 |
|---|---|---|---|
| 90166 | TX | HEARING AID DISPENSING | |
| 50862 | TX | STATE LICENSE NUMBER | |
| 151653604 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jean Boller by the Centers for Medicare & Medicaid Services?
The Jean Boller has been issued the NPI (National Provider Identifier) 1306834221, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jean Boller is located?
The Jean Boller is situated at the following address: 603 E Hildebrand Ave, San Antonio, TX, 782122693.
What is Jean Boller's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jean Boller's area of specialization is Audiologist, and the corresponding taxonomy code that categorizes this field of practice is 231H00000X.
When did Jean Boller receive its 1306834221 assignment?
The Jean Boller was assigned its 1306834221 on 2005-10-13, which is the date when this unique identifier was issued to the organization.
When was the Jean Boller's information last updated?
The Jean Boller's information was last updated on 2014-09-30.