Organization
EASTERN IDAHO AUDIOLOGY, LLC
Active
Organization
EASTERN IDAHO AUDIOLOGY, LLC
Active
Parent organization
EASTERN IDAHO AUDIOLOGY
Other names
Pocatello Hearing Zone
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTERN IDAHO AUDIOLOGY
Authorized official
DR. KELLEY J OLENICK AU.D. (OWNER/AUDIOLOGIST)
(208) 238-0020
Entity
Organization
Contact information
Practice address
4155 YELLOWSTONE AVE, PINE RIDGE MALL, CHUBBUCK, ID 83202-2345
(208) 238-0020
(208) 238-0021
Mailing address
7808 W POCATELLO CREEK RD, POCATELLO, ID 83201-9058
(208) 235-1544
(208) 238-0021
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AUD1214
ID
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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