Provider Demographics
NPI:1073646675
Name:SHOLTEN ENTERPRISES INC.
Entity Type:Organization
Organization Name:SHOLTEN ENTERPRISES INC.
Other - Org Name:BELTONE HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORP PRES.
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHOLTEN
Authorized Official - Suffix:
Authorized Official - Credentials:LIC HEARING AID DISP
Authorized Official - Phone:231-947-4960
Mailing Address - Street 1:1142 E. 8TH ST.
Mailing Address - Street 2:SUITE 3
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-2957
Mailing Address - Country:US
Mailing Address - Phone:231-947-4960
Mailing Address - Fax:
Practice Address - Street 1:1142 E. 8TH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-2957
Practice Address - Country:US
Practice Address - Phone:231-947-4960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332S00000X
MI3501000820332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI540B80271OtherBC & BS OF MI
MI540B80271OtherBLUE CROSS BLUE SHIELD OF MI