Provider Demographics
NPI:1669806881
Name:SCHETTER, JEFF SUTTON (HAD)
Entity type:Individual
Prefix:
First Name:JEFF
Middle Name:SUTTON
Last Name:SCHETTER
Suffix:
Gender:M
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 S RIVER ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:HAILEY
Mailing Address - State:ID
Mailing Address - Zip Code:83333-8436
Mailing Address - Country:US
Mailing Address - Phone:208-788-0296
Mailing Address - Fax:089-940-8972
Practice Address - Street 1:221 S RIVER ST STE 1B
Practice Address - Street 2:
Practice Address - City:HAILEY
Practice Address - State:ID
Practice Address - Zip Code:83333-8436
Practice Address - Country:US
Practice Address - Phone:208-788-0296
Practice Address - Fax:208-994-0897
Is Sole Proprietor?:No
Enumeration Date:2013-08-23
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID6006237700000X
AZ5320237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist