# SOUTHERN IDAHO HEARING & AUDIOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154657351
- **Authorized official:** A JOSEPH SEITZ (OWNER)
- **Authorized official phone:** (208) 324-4414

## Contact information

- **Practice address:** 1330 FILER AVE E, TWIN FALLS, ID 83301-4119
- **Practice address phone:** (208) 734-4555
- **Practice address fax:** (208) 734-3632
- **Mailing address:** 112 SEMINOLE CIR, JEROME, ID 83338-6484
- **Mailing address phone:** (208) 324-4414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | AUD-1077 | ID | Yes |
| 332S00000X | Hearing Aid Equipment | AUD-1077 | ID | — |

## Other

- **Enumeration date:** 10/22/2009
- **Last updated:** 10/22/2009