Individual
SHANE LLOYD HUNSAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
459 LOCUST ST N STE 110, TWIN FALLS, ID 83301-7324
(208) 734-8263
(208) 938-5306
Mailing address
1209 N SUMMERBROOK AVE STE 100, MERIDIAN, ID 83642-8750
(208) 938-5823
(208) 938-5306
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD-3038
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120779200
—
WY
05
—
120779201
—
WY
Enumeration date
11/10/2006
Last updated
05/19/2022
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