Provider Demographics
NPI:1033359476
Name:BEHEYT, RONALD E (HIS)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:E
Last Name:BEHEYT
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 JOHNSON RD STE B
Mailing Address - Street 2:
Mailing Address - City:TRAIL CREEK
Mailing Address - State:IN
Mailing Address - Zip Code:46360-6682
Mailing Address - Country:US
Mailing Address - Phone:574-440-0188
Mailing Address - Fax:
Practice Address - Street 1:405 JOHNSON RD STE B
Practice Address - Street 2:
Practice Address - City:TRAIL CREEK
Practice Address - State:IN
Practice Address - Zip Code:46360-6682
Practice Address - Country:US
Practice Address - Phone:574-440-0188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-25
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001271A237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist