Wellformed AI

NPI 1891878906 · live from the CMS NPI Registry

Jonathan Ross, MS CCC-A

Audiologist in Cheyenne, WY. National Provider Identifier 1891878906, active.

NPI record

NPI1891878906 Type 1 · individual
StatusActive
Primary specialtyAudiologist 231H00000X
Practice location1950 Bluegrass Cir Ste 150, Cheyenne, WY 82009
Practice phone307-632-8224
EnumeratedOctober 23, 2006
Last updatedSeptember 20, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist231H00000X—
Audiologist-Hearing Aid Fitter237600000X—
Audiologist primary231H00000XA-951 (WY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.