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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