IndividualActive
Matthew Black, H.I.S.
NPI 1639718745 · Hearing Instrument Specialist · Idaho Falls, ID
Provider details
- NPI number
- 1639718745
- Entity type
- Individual
- Primary specialty
- Hearing Instrument SpecialistSpeech, Language and Hearing Service Providers
- Credential
- H.I.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- HA3634 (ID)
Practice location
3656 Washington Pkwy
Idaho Falls, ID 83404-7573
Phone: (208) 529-4969
Mailing address
3656 Washington Pkwy
Idaho Falls, ID 83404-7573
Registry dates
- Enumerated
- 2020-01-06
- Last updated
- 2020-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.