Organization
AUDIOLOGY AND BALANCE SERVICES
Active
Organization
AUDIOLOGY AND BALANCE SERVICES
Active
Other names
Balanced Ear
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL ANN CHINN AUD (AUDIOLOGIST / OWNER)
(479) 254-0011
Entity
Organization
Contact information
Practice address
1501 SE WALTON BLVD, SUITE 119, BENTONVILLE, AR 72712-3734
(479) 254-0011
(479) 254-0710
Mailing address
1501 SE WALTON BLVD, SUITE 119, BENTONVILLE, AR 72712-3734
(479) 254-0011
(479) 254-0710
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
A-170
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143987720
—
AR
05
—
335401501
—
MO
01
—
640004342
RAILROAD MEDICARE
—
Enumeration date
10/29/2009
Last updated
10/08/2013
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