Susan J Boutault in Covina - Hearing Instrument Specialist

Susan J Boutault - NPI 1851493282

Susan J Boutault is a Hearing Instrument Specialist in Covina, California. Susan J Boutault practices all healthcare services and medical treatments related to Hearing Instrument Specialist. The NPI Number for Susan J Boutault is 1851493282. The last update date is 2007-07-08.

Susan J Boutault's current location address is 227 W Badillo, Covina, California. You can contact this provider via phone number 6267323510 and fax number 6267323520. The mailing address for Susan J Boutault is 227 W Badillo, Covina, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan J Boutault
Address 227 W Badillo, Covina, California
Phone Number 6267323510
Fax Number 6267323520
Sole Proprietor N
Credentials HIS

NPI Number Detail

NPI Number 1851493282
Provider Enumeration Date 2006-09-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 227 W Badillo
City Covina
State California (CA)
Post Code 91723
Phone Number 6267323510
Fax Number 6267323520

Provider's Primary Taxonomy Detail

Speciality Hearing Instrument Specialist
Taxonomy 237700000X
Licence No HA1314
Definition:
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
HA00013140 CA --

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FAQs about Susan J Boutault

What is the unique 10-digit identifier code issued to Susan J Boutault by the Centers for Medicare & Medicaid Services?

The Susan J Boutault has been assigned the NPI (National Provider Identifier) 1851493282 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Susan J Boutault located?

The Susan J Boutault is located at 227 W Badillo, Covina, CA 91723.

What is Susan J Boutault's specialized field of practice, and what is the corresponding taxonomy classification code?

The Susan J Boutault's area of specialization is Hearing Instrument Specialist, and the corresponding taxonomy code that categorizes this field of practice is 237700000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1851493282 to Susan J Boutault?

The Centers for Medicare & Medicaid Services originally issued the 1851493282 to Susan J Boutault on 2006-09-05.

As of what date was the information pertaining to Susan J Boutault, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Susan J Boutault, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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