Lund, E Jolene

Lund, E Jolene is an individual health care provider with primary practice located at 1970 E 17Th St Ste 119 , Idaho Falls ID 83404-8046. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Lund, E Jolene can be contacted via phone (208) 522-3141.

Contact Information

Primary practice address
1970 E 17Th St Ste 119 Idaho Falls ID 83404-8046
Phone: (208) 522-3141
Fax: (208) 542-1112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AUD-2064 Idaho
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 5888664-4101 Utah

Profile Details

NPI number 1831490507
LBN Legal business name Lund, E Jolene
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2010
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831490507 NPPES
Washington Other 7149398 WA MEDICAID
Washington Other 1831490507 WA MEDICAID
Washington Other 15814444 WA MEDICAID

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