Ms Jennifer Ann Clark, | |
330 Warner Dr, Lewiston, ID 83501-4441 | |
(208) 746-0193 | |
(208) 746-7074 |
Full Name | Ms Jennifer Ann Clark |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 330 Warner Dr, Lewiston, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053584292 | NPI | - | NPPES |
AU022 | Other | ID | BLUE CROSS OF ID |
000010170154 | Other | ID | REGENCE BLUESHIELD OF ID |
8560278 | Medicaid | WA | |
808195700 | Medicaid | ID | |
1580017 | Other | ID | MEDICARE ID |
P00678807 | Other | ID | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AUD-1728 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Jennifer Ann Clark, 330 Warner Dr, Lewiston, ID 83501-4441 Ph: (208) 746-0193 | Ms Jennifer Ann Clark, 330 Warner Dr, Lewiston, ID 83501-4441 Ph: (208) 746-0193 |
Simon Audiology & Tinnitus Llc Audiologist Medicare: Medicare Enrolled Practice Location: 1022 Bryden Ave, Lewiston, ID 83501 Phone: 208-746-7022 Fax: 208-746-2886 | |
Mrs. Anne Kristin Simon, M.S. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1022 Bryden Ave, Lewiston, ID 83501 Phone: 208-746-7022 Fax: 208-746-2886 |