Smith, Kristie Opal
Smith, Kristie Opal is an individual health care provider with primary practice located at 1084 N Cole Rd , Boise ID 83704-8642. She recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Smith, Kristie Opal can be contacted via phone (208) 377-0019.Contact Information
Primary practice address
1084 N Cole Rd
Boise ID 83704-8642
Phone: (208) 377-0019
Fax: (208) 377-0313
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AUD-2307 | Idaho |
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | AUD-2307 | Idaho |
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | AUD-2307 | Idaho |
Profile Details
NPI number | 1740533389 |
---|---|
LBN Legal business name | Smith, Kristie Opal |
Credentials | AUD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 19th, 2012 |
Last updated | Oct 19th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740533389 | NPPES |
Idaho | Other | AUD-2307 | BOOL |
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