Basic Information
| Provider Information | |||||||||
| NPI: | 1669806881 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHETTER | ||||||||
| FirstName: | JEFF | ||||||||
| MiddleName: | SUTTON | ||||||||
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| Credential: | HAD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 61 BELL ROCK PLZ | ||||||||
| Address2: | STE B | ||||||||
| City: | SEDONA | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 863518810 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9282845200 | ||||||||
| FaxNumber: | 9282220008 | ||||||||
| Practice Location | |||||||||
| Address1: | 61 BELL ROCK PLZ | ||||||||
| Address2: | SUITE B | ||||||||
| City: | SEDONA | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 863518810 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9282845200 | ||||||||
| FaxNumber: | 9282845200 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2013 | ||||||||
| LastUpdateDate: | 05/28/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | 5320 | AZ | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.