Robert Harris, HIS
Individual provider Active NPI Hearing Instrument Specialist · Evanston, WY
NPI 1992178164 · NPPES record last updated Nov 10, 2015
Key facts
- NPI
- 1992178164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hearing Instrument Specialist 237700000X
- License
- 193 (WY)
- Practice address
- 108 Yellow Creek Rd
Evanston, WY 82930-5234 - Phone
- (435) 740-0860
- NPI assigned
- Nov 10, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HA-2805 | ID | MD | Hearing Instrument Specialist |
| 9171940-4602 | UT | MD | Hearing Instrument Specialist |
| 193 | WY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auralcare Hearing Centers of America, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 193 | WY | Yes |
| Hearing Instrument Specialist | 237700000X | 9171940-4602 | UT | |
| Hearing Instrument Specialist | 237700000X | HA-2805 | ID |
Addresses
Primary practice location
108 Yellow Creek Rd
Evanston, WY 82930-5234
Mailing address
108 Yellow Creek Rd
Evanston, WY 82930-5234
Phone (435) 740-0860
Other providers in Evanston, WY
- Eric C Hansen
- Stephen Jared Hardman
- Shay Lynn Hardy
- Sean W. Harrell
- Terrick Harrild
- Jana Hartzell
- Lanaya Hatch
- Jacqueline Hayduk
- Health West, Inc.
- Health West, Inc.
All providers in Evanston, WY · Hearing Instrument Specialist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.