Provider Demographics
NPI:1851425300
Name:JOSIE AND DEB'S AUDIO CENTER
Entity Type:Organization
Organization Name:JOSIE AND DEB'S AUDIO CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER HEARING AID DISPENSER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:TSCHANNEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-672-1156
Mailing Address - Street 1:1301 S FIVE MILE RD
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-1306
Mailing Address - Country:US
Mailing Address - Phone:208-672-1156
Mailing Address - Fax:208-672-8159
Practice Address - Street 1:1301 S FIVE MILE RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709-1306
Practice Address - Country:US
Practice Address - Phone:208-672-1156
Practice Address - Fax:208-672-8159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDH-488237700000X
IDH-150237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty