Boller, Jean

Boller, Jean is an individual health care provider with primary practice located at 603 E Hildebrand Ave , San Antonio TX 78212-2693. She 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 her primary health care specialty. Boller, Jean can be contacted via phone (210) 824-0063.

Contact Information

Primary practice address
603 E Hildebrand Ave San Antonio TX 78212-2693
Phone: (210) 824-0063
Fax: (210) 824-8514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 50862 Texas
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 50862 Texas
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 50862 Texas

Profile Details

NPI number 1306834221
LBN Legal business name Boller, Jean
Credentials M.S.,CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Sep 30th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306834221 NPPES
Texas Other 90166 HEARING AID DISPENSING
Texas Other 50862 HEARING AID DISPENSING
Texas MEDICAID 151653604 HEARING AID DISPENSING

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