# SIMON AUDIOLOGY & TINNITUS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AJA COMPANY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053773416
- **Legal business name:** AJA COMPANY
- **Authorized official:** ANNE SIMON AUD (PRESIDENT)
- **Authorized official phone:** (208) 746-7022

## Contact information

- **Practice address:** 1022 BRYDEN AVE, LEWISTON, ID 83501-5353
- **Practice address phone:** (208) 746-7022
- **Practice address fax:** (208) 746-2886
- **Mailing address:** PO BOX 851, LEWISTON, ID 83501-0851
- **Mailing address phone:** (208) 746-7022
- **Mailing address fax:** (208) 746-2886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 2842 | ID | Yes |

## Other

- **Enumeration date:** 03/24/2016
- **Last updated:** 03/24/2016