Hale, Zackary M

Hale, Zackary M is an individual health care provider with primary practice located at 3345 Merlin Dr Ste 200, Idaho Falls ID 83404-7405. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Supplier. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Hale, Zackary M can be contacted via phone (208) 529-1514.

Contact Information

Primary practice address
3345 Merlin Dr Ste 200 Idaho Falls ID 83404-7405
Phone: (208) 529-1514
Fax: (208) 529-3170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A-998 Wyoming
Speech, Language and Hearing Service Providers / Assistive Technology Supplier 231HA2500X AUD-1128 Idaho
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD-1128 Idaho

Profile Details

NPI number 1861599912
LBN Legal business name Hale, Zackary M
Credentials AU.D
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 18th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861599912 NPPES
Idaho MEDICAID 807077000

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