Theobald, Roger

Theobald, Roger is an individual health care provider with primary practice located at 1084 N Cole Rd , Boise ID 83704-8642. He recently has 3 registered licenses in different health care specialties including 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. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Theobald, Roger 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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1417056201
LBN Legal business name Theobald, Roger
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Oct 31st, 2018 - about 6 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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