Provider Demographics
NPI:1891080065
Name:R. L. RANE PH.D AUDIOLOGY, PLLC
Entity Type:Organization
Organization Name:R. L. RANE PH.D AUDIOLOGY, PLLC
Other - Org Name:DBA SONUS HEARING CARE PROFESSIONALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:RANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-572-5291
Mailing Address - Street 1:10645 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-4108
Mailing Address - Country:US
Mailing Address - Phone:801-572-5291
Mailing Address - Fax:801-572-5357
Practice Address - Street 1:5000 CHESHIRE PKWY N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446-4103
Practice Address - Country:US
Practice Address - Phone:763-268-4115
Practice Address - Fax:763-268-4017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-15
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8002121-160237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty