Doctor Name: | MR. SHAWN R BURNHAM |
NPI Number: | 1649683459 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | HAD |
License Number: | 17001401A |
Business Practice Address: | 459 Locust St N Suite 110 Twin Falls, ID - 833017353 |
Business Phone Number: | 2087348263 |
Business Fax Number: | 2087348481 |
Mailing Address: | 1001 E. Sunset Road, Unit 96595 LAS VEGAS |
State: | NV |
Postal Code: | 891931246 |
Phone Number: | 7027980113 |
Fax Number: | 8662915242 |
NPI Enumeration Date: | 06/09/2014 |
NPI Last Update Date: | 12/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 17001401A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Hearing Instrument Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |